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Ain QU, Jamil M, Safian HA, et al. Assessing the Degree of Acute Esophageal Injury Secondary to Corrosive Intake: Insights From a Public Sector Hospitals of a Developing Country. Cureus. 2020;12(10):e10858doi: 10.7759/cureus.10858.
Ain, Q. U., Jamil, M., Safian, H. A., Akhter, T. S., Batool, S., Arshad, M., Jamal, A. M., Iqbal, A., Arsh, L., & Abbas, B. (2020). Assessing the Degree of Acute Esophageal Injury Secondary to Corrosive Intake: Insights From a Public Sector Hospitals of a Developing Country. Cureus, 12(10), e10858. https://doi.org/10.7759/cureus.10858
Ain, Qurat Ul, et al. "Assessing the Degree of Acute Esophageal Injury Secondary to Corrosive Intake: Insights From a Public Sector Hospitals of a Developing Country." Cureus vol. 12,10 (2020): e10858. doi: https://doi.org/10.7759/cureus.10858
Ain QU, Jamil M, Safian HA, Akhter TS, Batool S, Arshad M, Jamal AM, Iqbal A, Arsh L, Abbas B. Assessing the Degree of Acute Esophageal Injury Secondary to Corrosive Intake: Insights From a Public Sector Hospitals of a Developing Country. Cureus. 2020 Oct 08;12(10):e10858. doi: 10.7759/cureus.10858. PMID: 33178511; PMCID: PMC7652017.
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Cureus. 2020 Oct 08;12(10):e10858. doi: 10.7759/cureus.10858.

Assessing the Degree of Acute Esophageal Injury Secondary to Corrosive Intake: Insights From a Public Sector Hospitals of a Developing Country.

Cureus

Qurat Ul Ain, Manahil Jamil, Hafiz Abu Safian, Tayyab S Akhter, Salma Batool, Moniba Arshad, Ali Murad Jamal, Ather Iqbal, Laraib Arsh, Bilawal Abbas

Affiliations

  1. Psychology, Rawalpindi Medical University, Rawalpindi, PAK.
  2. Surgery, Rawalpindi Medical University, Rawalpindi, PAK.
  3. Gastroenterology, Holy Family Hospital, Islamabad, PAK.
  4. Internal Medicine, Rawalpindi Medical University, Rawalpindi, PAK.

PMID: 33178511 PMCID: PMC7652017 DOI: 10.7759/cureus.10858

Abstract

Background Caustic ingestion continues to be a significant problem worldwide especially in developing countries and particularly in the age group of under six years. Ingestion of caustic substances is a medical emergency in both the adult and pediatric population and is associated with high morbidity and mortality. The ingestion of caustic substances induces an extensive spectrum of injuries to the aerodigestive tract, which includes extensive necrosis and perforation of the esophagus and stomach. Objectives The main aims were to determine upper and lower esophageal injuries associated with corrosive intake and to compare esophageal injury with age and gender. Rationale Once we'll find the extent and severity of esophageal injury associated with corrosive intake within 24 hours, we'll be able to manage the case timely and to limit further complications and disabilities. Materials and Methods This descriptive cross-sectional study was conducted on 150 patients who presented with corrosive ingestion and underwent urgent endoscopic evaluation. Data were collected using self-designed pro forma. Endoscopic findings were classified according to the Zargar classification. A descriptive analysis of study variables was performed using SPSS v.21.0 (IBM Corp., Armonk, NY, USA). The chi-square test was used, and a p-value of less than 0.05 was considered statistically significant. Results Out of 150 patients under study, 103 (68.7%) were females and 47 (31.3%) were males. The most prevalent age group presenting with corrosive intake was found to be between 21 and 34 years of age (43.3%) in both genders. The most common part of the esophagus prone to corrosive insult is the upper esophagus (99.3%), whereas, regarding severity, the lower esophagus has more severe injuries (predominant being stage 2B, i.e., 32%). There are no statistically significant differences in esophageal injuries in different age groups (upper esophageal injury: 0.319; lower esophageal injury: 0.696) and genders (upper esophageal injury: 0.769; lower esophageal injury: 0.752).  Conclusions Most of the patients under study belong to the female gender and teen and younger age group. The predominant upper esophageal injury as a result of corrosive intake is stage 0 injury, and the least common is found to be stage 1 injury. The predominant lower esophageal injury as a result of corrosive intake is stage 2B injury, whereas the least common is found to be stage 4 injury.

Copyright © 2020, Ain et al.

Keywords: alkalies; caustics; esophageal mucosa

Conflict of interest statement

The authors have declared that no competing interests exist.

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