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VOLUME 23 , ISSUE S4 ( December, 2019 ) > List of Articles

INVITED ARTICLE

Corrosive Ingestion

Raja Kalayarasan, Nilakantan Ananthakrishnan, Vikram Kate

Keywords : Caustic injury, Corrosive, Esophageal stricture, Gastric stricture, Poisoning

Citation Information : Kalayarasan R, Ananthakrishnan N, Kate V. Corrosive Ingestion. Indian J Crit Care Med 2019; 23 (S4).

DOI: 10.5005/jp-journals-10071-23305

License: CC BY-NC 4.0

Published Online: 01-08-2015

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Corrosive ingestion remains a common problem in developing countries, such as India due to the lack of strict laws that regulate the sale of caustics. While appropriate treatment of the acute phase can mitigate tissue damage improper management of the acute corrosive injury is widely prevalent due to the limited experience of the individual physicians in managing this condition. The aim of this review is to summarize the epidemiology and pathophysiology of corrosive ingestion, principles in the management of acute phase injury, long-term effects of caustic ingestion, and prevention of corrosive ingestion.


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  1. Chirica M, Bonavina L, Kelly MD, Sarfati E, Cattan P. Caustic ingestion. Lancet 2017;389(10083):2041–2052. DOI: 10.1016/S0140-6736(16)30313-0.
  2. Ananthakrishnan N, Kalayarasan R, Kate V. Corrosive injury of esophagus and stomach. In: Mishra PK, ed. Textbook of Surgical Gastroenterology, 1st ed., New Delhi, India: Jaypee; 2016.
  3. Lakshmi CP, Vijayahari R, Kate V, Ananthakrishnan N. A hospital-based epidemiological study of corrosive alimentary injuries with particular reference to the Indian experience. Natl Med J India 2013;26(1): 31–36.
  4. Mowry JB, Spyker DA, Cantilena Jr LR, McMillan N, Ford M. 2013 Annual report of the american association of poison control centers’ national poison data system (NPDS): 31st annual report. Clin Toxicol (Phila) 2014;52(10):1032–1283. DOI: 10.3109/15563650.2014. 987397.
  5. Pankaja S, Valooran G, Das S, Suvasini L, Aravind R, Kate V, et al. Isolated full thickness jejunal necrosis following sulphuric acid cocktail ingestion—a clinical case report—isolated corrosive jejunal necrosis. Surg Sci 2011;2:338–340. DOI: 10.4236/ss.2011.26072.
  6. Osman M, Russell J, Shukla D, Moghadamfalahi M, Granger DN. Responses of the murine esophageal microcirculation to acute exposure to alkali, acid, or hypochlorite. J Pediatr Surg 2008;43(9):1672–1678. DOI: 10.1016/j.jpedsurg.2008.01.069.
  7. Chirica M, Kelly MD, Siboni S, Aiolfi A, Riva CG, Asti E, et al. Esophageal emergencies: WSES guidelines. World J Emerg Surg 2019;14:26. DOI: 10.1186/s13017-019-0245-2.
  8. Bonavina L, Chirica M, Skrobic O, Kluger Y, Andreollo NA, Contini S, et al. Foregut caustic injuries: results of the world society of emergency surgery consensus conference. World J Emerg Surg 2015;10:44. DOI: 10.1186/s13017-015-0039-0.
  9. Pelclová D, Navrátil T. Do corticosteroids prevent oesophageal stricture after corrosive ingestion? Toxicol Rev 2005;24(2):125–129. DOI: 10.2165/00139709-200524020-00006.
  10. Zargar SA, Kochhar R, Mehta S, Mehta SK. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc 1991;37(2):165–169. DOI: 10.1016/S0016-5107(91)70678-0.
  11. Ananthakrishnan N, Parthasarathy G, Kate V. Acute corrosive injuries of the stomach: a single unit experience of thirty years. ISRN Gastroenterol 2011;2011:914013. DOI: 10.5402/2011/914013.
  12. Landen S, Wu MH, Jeng LB, Delugeau V, Launois B. Pancreaticoduodenal necrosis due to caustic burns. Acta Chir Belg 2000;100(5):205–209.
  13. Ananthakrishnan N, Parthasarathy G, Kate V. Chronic corrosive injuries of the stomach-a single unit experience of 109 patients over thirty years. World J Surg 2010;34(4):758–764. DOI: 10.1007/s00268-010-0393-8.
  14. Ananthakrishnan N, Subbarao KSVK, Parthasarathy G, Kate V, Kalayarasan R. Long term results of esophageal bypass for corrosive strictures without esophageal Resection using a modified left colon esophagocoloplasty—a report of 105 consecutive patients from a single unit over thirty years. Hepatogastroenterology 2014;61(132):1033–1041.
  15. Ananthakrishnan N, Kate V, Parthasarathy G. Therapeutic options for management of pharyngoesophageal corrosive strictures. J Gastrointest Surg 2011;15(4):566–575. DOI: 10.1007/s11605-011-1454-5.
  16. Ananthakrishnan N, Parthasarathy G, Maroju NK, Kate V. Sternocleidomastoid muscle myocutaneous flap for corrosive Pharyngo-esophageal strictures. World J Surg 2007;31(8):1592–1596. DOI: 10.1007/s00268-007-9120-5.
  17. Ananthakrishnan N, Subba Rao KSVK, Radjendirin P. Mid-colon esophagocoloplasty for corrosive esophageal strictures. Aust N Z J Surg 1993;63(5):389–395. DOI: 10.1111/j.1445-2197.1993.tb00407.x.
  18. Nagaraj K, Kalayarasan R, Gnanasekaran S, Pottakkat B. Total laparoscopic Billroth-I gastrectomy for corrosive-induced antropyloric stricture. J Minim Access Surg 2018;15(2):161–163. DOI: 10.4103/jmas.JMAS_132_18.
  19. Repici A, Vleggaar FP, Hassan C, van Boeckel PG, Romeo F, Pagano N, et al. Efficacy and safety of biodegradable stents for refractory benign esophageal strictures: the BEST (biodegradable esophageal stent) study. Gastrointest Endosc 2010;72(5):927–934. DOI: 10.1016/j.gie.2010.07.031.
  20. Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol 2013;19(25): 3918–3930. DOI: 10.3748/wjg.v19.i25.3918.
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