Citation

Ibara JR, Mbemba MI, Okouo M, Atipo-Ibara BI, Mambouana PN, Gassaye D, Nkoua JL, Itoua-Ngaporo A. Ann. Gastroenterol. Hepatol. (Paris) 1997; 33(3): 136-139.

Copyright

(Copyright © 1997, Expansion Scientifique Française)

DOI

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PMID

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Abstract

Based on a retrospective study, the etiological and endoscopic aspects of caustic injuries of the digestive tract are presented, concerning one hundred and four cases (62 men and 42 women, mean age 25). 78 patients (75 %) had intentionally ingested a caustic substance to commit suicide. In 26 cases (25 %), it was an accident. Ingested substances were as follows: sulphuric acid : 61 cases (58.7 %); caustic soda: 12 cases (11.5 %); bleach: 8 cases (7.7 %); permanganate: 4 cases (3.9 %), ammonia: 1 case (0.9 %); and unidentified substances: 18 cases (17.3 %). Fiberoptic endoscopy was normal in 6 cases (5.8 %). In 98 cases (94.2 %), digestive lesions were apparent. They could be classified as Stage I (14 cases), II (39 cases), and III (45 cases) per Di Costanzo. 51 cases developed clcatricial stenosis. In view of these results, we suggest that the sale of caustic substances De regulated. Also, popular education and information should be intensified, and a poison control center should be created.

Language: fr

Keywords

Adult; Caustic injuries; Digestive tract