Emergency management of caustic ingestion

B. Andreoni, M. L. Farina, R. Biffi, C. Crosta

Research output: Contribution to journalArticle

Abstract

Diagnosis and treatment of caustic ingestion injuries remain controversial. Based on experience with a wide spectrum of upper gastrointestinal tract injuries from caustic ingestion, prospectively observed in 58 adult patients treated in a teaching hospital in Milan, the authors suggest an early staging of the lesions by endoscopy, followed by resective surgery for high-degree esophagogastric lesions. Ingestion of a large amount of corrosive agent results in a life-threatening condition that requires a much more aggressive diagnostic and therapeutic approach than was formerly recommended. Early surgery plays a fundamental role in the prevention of acute hemorrhagic and perforative complications as well as of development of scar tissue and neoplastic stricture over time. The multidisciplinary approach to the management of these patients is underlined, stressing the need of close cooperation between a number of different specialists.

Original languageEnglish
Pages (from-to)95-100
Number of pages6
JournalDiseases of the Esophagus
Volume10
Issue number2
Publication statusPublished - 1997

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ASJC Scopus subject areas

  • Gastroenterology

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