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  • Title: Nonsurgical management of severe esophageal and gastric injury following alkali ingestion.
    Author: Abaskharoun RD, Depew WT, Hookey LC.
    Journal: Can J Gastroenterol; 2007 Nov; 21(11):757-60. PubMed ID: 18026581.
    Abstract:
    The ingestion of caustic substances may result in significant gastrointestinal injury. Endoscopy can play a major role in the initial evaluation and subsequent therapy of such injuries. The case of a 50-year-old man who ingested an alkaline floor stripper is described, including the endoscopic management of esophageal and pyloric strictures, with good functional results. The role of endoscopy, steroids and acid suppression in the management of such patients is also explored. L’ingestion de substances caustiques peut provoquer d’importantes lésions gastro-intestinales. L’endoscopie occupe une place importante dans l’évaluation initiale et la thérapie subséquente de ces lésions. Les auteurs décrivent le cas d’un homme de 50 ans qui a ingéré un décapant à plancher alcalin, y compris la prise en charge endoscopique des constrictions œsophagiennes et pyloriques, et les bons résultats fonctionnels. Ils explorent également le rôle de l’endoscopie, des stéroïdes et de la suppression acide dans la prise en charge d’un tel patient.
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