Outcome of Corrosive Injury in Tertiary Care Hospital Predicted By Upper Gastrointestinal Endoscopy
Abstract
Abstract Back groundThe ingestion of
corrosive substances produces various
spectrum injuries in the upper gastrointestinal
tract. The clinical features and
outcome depends upon the extent of
damage caused by the corrosive substances.
We can assess the severity of
the injury according to Zargar classification
in patients admitted with corrosive
ingestion within 24 hours of admission
can predicts the outcome.MATERIALS
METHODSRetrospective analysis of records
of upper gastrointestinal endoscopy
of 135 patients who have consumed
corrosive ingestion from May
2011 to September 2012, in the Department
of Medical Gastroenterology, Madras
medical college, ChennaiRESULTSTotal
number of patients were135. (M F
-11) .78 patients consumed acid and 57
had consumed alkali. Endoscopy could
not be done in 10 patients .4 of them
were hemodynamically unstable and
3patients did not cooperate for the procedure
in 2 patients not able to intubate
due edema at cricopharynx.
One patient died due to perforation. Endoscopic
analysis of 125 patients revealed
the following grades of injuries.Endoscopy
was normal in 38, revealed mild injury in
47, severe injury in 40 patients. The severely
injured were managed with Naso
gastric (36) and nasojejunal (4) patients.
Follow up endoscopy done in 40 patients
showed normal study in 27 patients, single
stricture amenable to endotherapy in 9 and
complex narrowing in 4 patients, referred
for surgical consultation.Conclusion We
conclude that early endoscopy is a safe,
reliable, and accurate diagnostic tool in patients
with acute corrosive injury. It has
prognostic and therapeutic implications.
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