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Journal Article

Citation

Rondanelli M, Peroni G, Miccono A, Guerriero F, Guido D, Perna S. Ther. Clin. Risk Manag. 2016; 12: 129-133.

Copyright

(Copyright © 2016, Dove Press)

DOI

10.2147/TCRM.S92870

PMID

unavailable

Abstract

The ingestion of corrosive industrial chemical agents, such as caustic soda, that are mostly used for household cleaning, usually occurs accidentally or for suicidal purposes. Multiple protocols are based on documented success in preventing impending complications. In this study, we present a case of a 70-year-old man who swallowed caustic soda in a suicide attempt, causing a development of strong esophageal and gastric necrosis with subsequent gastrectomy and digiunostomy. Initially, the recommended nutritional approach was via percutaneous endoscopic jejunostomy by a polymer and high-caloric formula, with an elevated content of soluble fiber. After 5 months, the medical team removed the percutaneous endoscopic jejunostomy and the patient switched from enteral to oral nutrition. In this step, it was decided to introduce two oral, high-caloric supplements: an energy supplement in powder, based on maltodextrin, immediately soluble in foods or in hot/cold drinks and a high-energy and protein drink, enriched with arginine, vitamin C, zinc, and antioxidants. Oral administration (per os) was well tolerated by consuming homogenized food mixed in water. After 1 month, the patient was discharged from the hospital and was able to eat a regular meal. © 2016 Rondanelli et al.


Language: en

Keywords

human; male; aged; case report; Elderly; suicide attempt; polymer; antioxidant; sodium hydroxide; zinc; surgical technique; gastrectomy; ascorbic acid; caloric intake; Article; dietary intake; arginine; stomach disease; diet supplementation; tissue necrosis; esophagus disease; dietary fiber; beverage; jejunostomy; protein intake; endoscopic surgery; powder; nutritional requirement; Caustic soda ingestion; digiunostomy; Enteral nutrition; esophageal necrosis; Esophageal necrosis; gastric necrosis; Gastric necrosis; maltodextrin; Nutritional management; Nutritional supplementation; nutritional tolerance; percutaneous endoscopic jejunostomy

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