Corroded

Released on 05/10/2014

Key Learning Points

  • Activated Charcoal
  • Broad-spectrum Antibiotics
  • CT imaging for the grading of Esophageal Injury
  • Clinical Presentation of Corrosive Ingestion
  • Common Types of Corrosives Ingested
  • Endoscopy in Corrosive Ingestion
  • Grading of Esophageal Injury
  • Indications for Emergency Tracheostomy in Corrosive Ingestion
  • Intraluminal Stenting
  • Late Complications of Corrosive Ingestion
  • Nasogastric tubes in individuals with a stricture
  • Neutralizing Corrosives
  • Proton-pump Inhibitors
  • Steroids
  • Surgery in Esophageal Chemical Burns
  • Treatment of Esophageal Strictures
  • When should doctors suspect child neglect?

References

1. CONTINI S, SCARPIGNATO C. Caustic injury of the upper gastrointestinal tract: A comprehensive review World J Gastroenterol [online] 2013 Jul 7, 19(25):3918-3930 [viewed 29 September 2014] Available from: doi:10.3748/wjg.v19.i25.3918
2. ADEDEJI TO, TOBIH JE, OLAOSUN AO, SOGEBI OA. Corrosive oesophageal injuries: a preventable menace Pan Afr Med J [online] :11 [viewed 29 September 2014] Available from: doi:10.11604/pamj.2013.15.11.2495
3. MOWRY JAMES B., SPYKER DANIEL A., CANTILENA LOUIS R., BAILEY J. ELISE, FORD MARSHA. 2012 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 30th Annual Report. Clinical Toxicology [online] 2013 December, 51(10):949-1229 [viewed 29 September 2014] Available from: doi:10.3109/15563650.2013.863906
4. SIERSEMA PD, DE WIJKERSLOOTH LR. Dilation of refractory benign esophageal strictures. Gastrointest Endosc [online] 2009 Nov, 70(5):1000-12 [viewed 29 September 2014] Available from: doi:10.1016/j.gie.2009.07.004
5. DOğAN Y, ERKAN T, COKUğRAş FC, KUTLU T. Caustic gastroesophageal lesions in childhood: an analysis of 473 cases. Clin Pediatr (Phila) [online] 2006 Jun, 45(5):435-8 [viewed 29 September 2014] Available from: doi:10.1177/0009922806289618
6. CHIBISHEV AA, SIMONOVSKA N, BOZINOVSKA C, PERESKA Z, SMOKOVSKI I, GLASNOVIC M. Respiratory Complications from Acute Corrosive Poisonings in Adults Mater Sociomed [online] 2014 Apr, 26(2):80-83 [viewed 29 September 2014] Available from: doi:10.5455/msm.2014.26.80-83
7. REPICI A, VLEGGAAR FP, HASSAN C, VAN BOECKEL PG, ROMEO F, PAGANO N, MALESCI A, SIERSEMA PD. Efficacy and safety of biodegradable stents for refractory benign esophageal strictures: the BEST (Biodegradable Esophageal Stent) study. Gastrointest Endosc [online] 2010 Nov, 72(5):927-34 [viewed 29 September 2014] Available from: doi:10.1016/j.gie.2010.07.031
8. PELCLOVá D, NAVRáTIL T. Do corticosteroids prevent oesophageal stricture after corrosive ingestion? Toxicol Rev [online] 2005, 24(2):125-9 [viewed 30 September 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/16180932
9. RYU HH, JEUNG KW, LEE BK, UHM JH, PARK YH, SHIN MH, KIM HL, HEO T, MIN YI. Caustic injury: can CT grading system enable prediction of esophageal stricture? Clin Toxicol (Phila) [online] 2010 Feb, 48(2):137-42 [viewed 30 September 2014] Available from: doi:10.3109/15563650903585929
10. KAY M, WYLLIE R. Caustic ingestions in children. Curr Opin Pediatr [online] 2009 Oct, 21(5):651-4 [viewed 30 September 2014] Available from: doi:10.1097/MOP.0b013e32832e2764 DURBIN CG JR. Indications for and timing of tracheostomy. Respir Care [online] 2005 Apr, 50(4):483-7 [viewed 30 September 2014] Available from: http://www.ncbi.nlm.nih.gov/pubmed/15807910