@article{ref1,
title="Caustic lesions of the adult's upper digestive tract. Aetiological and endoscopic aspects concerning 104 cases",
journal="Annales de Gastroentérologie et d'Hépatologie",
year="1997",
author="Ibara, J.R. and Mbemba, M.I. and Okouo, M. and Atipo-Ibara, B.I. and Mambouana, Ph.N. and Gassaye, D. and Nkoua, J.L. and Itoua-Ngaporo, A.",
volume="33",
number="3",
pages="136-139",
abstract="Based on a retrospective study, the etiological and endoscopic aspects of caustic injuries of the digestive tract are presented, concerning one hundred and four cases (62 men and 42 women, mean age 25). 78 patients (75 %) had intentionally ingested a caustic substance to commit suicide. In 26 cases (25 %), it was an accident. Ingested substances were as follows: sulphuric acid : 61 cases (58.7 %); caustic soda: 12 cases (11.5 %); bleach: 8 cases (7.7 %); permanganate: 4 cases (3.9 %), ammonia: 1 case (0.9 %); and unidentified substances: 18 cases (17.3 %). Fiberoptic endoscopy was normal in 6 cases (5.8 %). In 98 cases (94.2 %), digestive lesions were apparent. They could be classified as Stage I (14 cases), II (39 cases), and III (45 cases) per Di Costanzo. 51 cases developed clcatricial stenosis. In view of these results, we suggest that the sale of caustic substances De regulated. Also, popular education and information should be intensified, and a poison control center should be created.<p /><p>Language: fr</p>",
language="fr",
issn="0066-2070",
doi="",
url="http://dx.doi.org/"
}