Spectrum of Injury to Upper Gastrointestinal Tract Due to Corrosive Ingestion.10 year experience.

Dr. Manzoor Ahmad Wani; Dr.Tajamul Hussain Shah; Dr.Gul Javid; Dr.Showkat Ali Zargar; Dr. Ghulam Nabi Yatoo; Dr. Altaf Shah; Dr. Jaswinder Singh sodhi; Dr. Ghulam Mohammad Gulzar; Dr. Mushtaq Khan.

Volume : VIII, Issue : VI, June - 2019

Spectrum of Injury to Upper Gastrointestinal Tract Due to Corrosive Ingestion.10 year experience.

Dr. Manzoor Ahmad Wani, Dr. Tajamul Hussain Shah, Dr. Gul Javid, Dr. Showkat Ali Zargar, Dr. Ghulam Nabi Yatoo, Dr. Altaf Shah, Dr. Jaswinder Singh Sodhi, Dr. Ghulam Mohammad Gulzar, Dr. Mushtaq Khan.

Abstract :

Aims: The objective of this study was to understand the demographic features, clinical findings, role of endoscopy and acute complications of caustic ingestion in our population. Materials & Methods: In this single center retrospective study, records of patients with history of caustic ingestion for the past 10 years were reviewed and analysed. Results: Out of total 62 cases of corrosive ingestion, 33 (53.2%) were males and 29 (46.8%) were females, with mean age of 19.4�11.7 years. Most common mucosal injury on early endoscopy was Grade II (72.5%), followed by Grade I (17.6%) and Grade III (9.8%). Esophagus was involved in 100% patients, stomach in 88.23%, duodenum in 33.33% and oropharynx in 82.5%. Severe mucosal injury (≥ grade IIb) seen in 43.13 %, was the predictor of acute complications which included UGI Bleed(3), ICU admission(8), Multiorgan failure(3) and death(3). Conclusion: Early endoscopy is safe, helps in assessing the severity and extent of injury, in planning proper management and predicting outcome