Citation

Karaoglu AO, Ozutemiz O, Ilter T, Batur Y, Yonetci N, Tekesin O, Musoglu A, Aydin A, Osmanoglu N, Akarca U, Cavusoglu H. Turk. J. Gastroenterol. 1998; 9(1): 55-60.

Copyright

(Copyright © 1998, Turkish Society of Gastroenterology)

DOI

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PMID

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Abstract

This study evaluates patients admitted to the Gastroenterology Department of Medicine Faculty of Ege University during the last ten years due to ingestion of caustic substances. There were 108 patients (49 male, 59 female) between 13 and 95 years of age (mean 36.4 ± 18.9). All patients had ingested liquid agents, with lye being the most frequently ingested substance (41.5%). Endoscopic examination could be performed on 73 patients (67.6%), x- ray examination on 21 (19.6%) and both on 14 (12.9%) within the first 24 hours. There was a strong relationship between the period of time from ingestion to medical intervention and development of diffuse esophageal stricture and the fistula. Patients who required dilatation of esophageal stricture had ingested significantly higher amounts of caustic substances than those who did not (p<0.05). Increased white blood cells and pathological chest x-rays emerged as a negative prognostic sign. While 71.3% of patients had drunk the agent accidentally, 28.7% had suicidal intentions and the rate of attempted suicide in women was 2.8 times greater than that of men. However, corrosive esophagitis due to attempted suicide was lower in our patients than in other Western populations.

Language: tr

Keywords

adolescent; adult; aged; article; caustic agent; Caustic agents; Corrosive esophagitis; diagnostic approach route; endoscopy; esophagitis; esophagus fistula; esophagus stricture; female; human; incidence; ingestion; leukocytosis; major clinical study; male; prognosis; radiography