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Vetter M, Rath T, Siebler J, et al. The Ominous Ouzo Party - A Case Series of Four Patients with Accidental Alkali Ingestion. Clin Exp Gastroenterol. 2021;14:303-308doi: 10.2147/CEG.S320047.
Vetter, M., Rath, T., Siebler, J., Waldner, M., Neurath, M. F., & Pfeifer, L. (2021). The Ominous Ouzo Party - A Case Series of Four Patients with Accidental Alkali Ingestion. Clinical and experimental gastroenterology, 14303-308. https://doi.org/10.2147/CEG.S320047
Vetter, Marcel, et al. "The Ominous Ouzo Party - A Case Series of Four Patients with Accidental Alkali Ingestion." Clinical and experimental gastroenterology vol. 14 (2021): 303-308. doi: https://doi.org/10.2147/CEG.S320047
Vetter M, Rath T, Siebler J, Waldner M, Neurath MF, Pfeifer L. The Ominous Ouzo Party - A Case Series of Four Patients with Accidental Alkali Ingestion. Clin Exp Gastroenterol. 2021 Jul 13;14:303-308. doi: 10.2147/CEG.S320047. eCollection 2021. PMID: 34285537; PMCID: PMC8286424.
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Clin Exp Gastroenterol. 2021 Jul 13;14:303-308. doi: 10.2147/CEG.S320047. eCollection 2021.

The Ominous Ouzo Party - A Case Series of Four Patients with Accidental Alkali Ingestion.

Clinical and experimental gastroenterology

Marcel Vetter, Timo Rath, Jürgen Siebler, Maximilian Waldner, Markus F Neurath, Lukas Pfeifer

Affiliations

  1. Department of Medicine 1, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
  2. Deutsches Zentrum Immuntherapie, DZI, Erlangen, Germany.
  3. Department of Gastroenterology and Interventional Endoscopy, Krankenhaus Barmherzige Brüder, Regensburg, Germany.

PMID: 34285537 PMCID: PMC8286424 DOI: 10.2147/CEG.S320047

Abstract

BACKGROUND: Ingestion of alkaline fluids is a common problem, which can lead to perforations, strictures and malignancy. We present a rare case series of several patients who accidentally ingested the same alkaline substance in different doses.

METHODS: We investigated four patients with accidental ingestion of dishwashing liquid. All patients underwent gastroscopy within 24h after inpatient admission. Gastroesophageal lesions were classified according to the Zargar classification for corrosive ingestions.

RESULTS: Esophagogastric lesions were predominantly found at the distal esophagus and the small curvature of the stomach. The severity of these lesions ranged from mild erosions (Zargar 2A) to marked necrosis (Zargar 3A). Our data suggest that the degree of these lesions correlated with the amount of ingested toxin and duration of the inpatient stay. However, a low symptom severity or inconspicuous otolaryngologic examination did not exclude severe gastroesophageal lesions.

CONCLUSION: Our data suggest that the severity of gastroesophageal lesions correlates with the amount of ingested alkaline substance. Symptom burden and an otolaryngologic examination are not sufficiently predictive for the severity of gastroesophageal lesions. The composition and quantity of the swallowed liquid should be determined.

© 2021 Vetter et al.

Keywords: alkali ingestion; case series; gastroscopy; toxin dose

Conflict of interest statement

The authors have no conflicts of interest to declare.

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