CORROSIVE INJURY PROFILE IN A TERTIARY CARE CENTRE

Dr.R.Karthikeyan; Dr.A.Senthil Vadivu; Dr.E.Kandasamy alias Kumar

Volume : VI, Issue : VII, July - 2017

CORROSIVE INJURY PROFILE IN A TERTIARY CARE CENTRE

Dr. R. Karthikeyan, Dr. A. Senthil Vadivu, Dr. E. Kandasamy Alias Kumar

Abstract :

Aim :i.To assess the severity of corrosive injury and grade of corrosive injury. ii.To assess the site of injury. Materials and methods: Retrospective study .Data collected for period of 7 years from 2007 to 2012 in department of Medical gastroenterology,Govt Rajiv Gandhi general hospital; and Madras Medical college, Chennai. 227 patients were subjected for upper gastrointestinal endoscopy following ingestion of a corrosive in our institution from 2007 till 2012. Results:Two thirds of the patients had both gastric and esophageal injury. The age of the patients ranged from 4 years to 65 years with a overall slight preponderance of females over males . Grade 1 injury was more common in stomach than esophagus. Esophagus was found to be normal in 44% of cases.Corrosive injury is most commonly seen in the age group of 18-30 years. Females in the age group of < 30 years had more suicidal tendency than males.Males had a higher incidence beyond the age of 30 years.Injury more than Grade 2a in esophagus is 24%.Injury more than Grade 2a in stomach is 19%. Conclusion: Our study infer that early upper gastro duodenal scopy is helpful in grading of corrosive injury. Significant injury due to corrosives occur predominantly in esophagus