Caustic ingestion can cause severe injury to the esophagus and the stomach.
The rationale was to study the pattern and endoscopic severity of caustic ingestion injuries presenting at Military Hospital Rawalpindi.
Caustic ingestion is a medical emergency especially in settings of suicidal intent in younger individuals.
Table-1: Endoscopic findings in patients of caustic ingestion injuries (n=50).
Mamede RCM, DeMelloFilho FV: Treatment of caustic ingestion: An analysis of 239 cases.
Riffat F, Cheng A, Pediatric caustic ingestion: 50 consecutive cases and a review of the literature: Dis Esophagus.
Caustic ingestion had an increased prevalence in children between 18 and 36 months of age (37%) and foreign body ingestion in children 73 - 90 months of age (100%) (Fig.
Caustic ingestion was noted to be higher in males (52%), with oesophageal reflux disease predominating in female patients (24% v.
The average number of dilatations per child was 6 for oesophageal atresia and 11 for caustic ingestion.
The treatment of unassisted and fluoroscopically assisted BOS, by means of balloon or rigid dilatation techniques, has been well described.[1-5] In the past, fuoroscopically assisted balloon dilatation techniques have formed the mainstay and primary treatment option in children with oesophageal strictures in many parts of the world.[1-4,8] Although diferent aetiological factors cause such strictures, two main categories exist, namely strictures post surgical repair of oesophageal atresia (OA) - with or without trachea-oesophageal istula - and others, of which caustic ingestion and gastrooesophageal reflux disease predominate.