Citation

Sankhla A, Mathur CP, Dadhich S, Barupal KG, Mathur R, Agarwal M. Journal, Indian Academy of Clinical Medicine 2016; 17(3): 189-192.

Copyright

(Copyright © 2016)

DOI

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PMID

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Abstract

INTRODUCTION: Corrosive ingestion is a serious medical problem with a variety of presentations and complicated clinical course and when performed, early endoscopy is considered valuable for diagnosis and management of patients.

METHODS and patients: 50 patients (above 14 years) admitted in ourhospital from 2009 to 2011 were studied prospectively and their clinical course, endoscopic findings, and outcome were analysed. Most common corrosive taken was diluted alkali (48%) followed by concentrated acid (38%), and concentrated alkali (12%).

RESULTS: We found that clinical features are not reliable for diagnosis and assessing severity and extent of injury. On endoscopy, diluted alkali ingestion causes no or milder grades of injury, whereas concentrated acid and concentrated alkali ingestion causes severe grades of injury. Chances of complications increase as injury grades on endoscopy increase. Patients with injury grades I and IIA developed very few complicationsand had lesser hospital stay, whereas grade IIB, IIIA to IIIB patients had severe complications and longer hospital stay. Bleeding was the most common gastrointestinal complication followed by strictures and septicaemia. Death occurred in 6% of patients.

DISCUSSION: We found that when performed early, upper gastrointestinal endoscopy is safe and useful in confirming diagnosis and finding out the extent, location, and severity of injury. It has prognostic value and we can plan futher management. It is also useful in finding and managing delayed complications. © 2017, Indian Academy of Clinical Medicine. All rights reserved.

Language: en

Keywords

adult; human; gender; suicide; female; male; mortality; hospitalization; disease severity; intoxication; hydrochloric acid; clinical article; necrosis; follow up; septicemia; sulfuric acid; prospective study; blood transfusion; sodium hydroxide; copper sulfate; aspiration pneumonia; concentration (parameters); digestive system injury; gastrointestinal hemorrhage; larynx edema; Article; tracheostomy; outcome assessment; esophagus stenosis; Rajasthan; nitric acid; hydrogen peroxide; lung injury; gastrointestinal corrosive injury; hypochlorite sodium; adventitia necrosis; intestine endoscopy; muscle necrosis; submucosal necrosis