Citation

Lazartigues J, Lamarque D. Hepato-Gastro et Oncologie Digestive 2018; 25: 32-37.

Copyright

(Copyright © 2018)

DOI

10.1684/hpg.2018.1702

PMID

unavailable

Abstract

Caustic ingestion occurs 8 times out of 10 in the pediatric population (mostly accidents). Adults are also concerned (suicide) with more severe lesions. Initial evaluation includes the time of ingestion, the caustic agent features (pH, consistency), the ingested volume and the context of ingestion (accidental or suicidal). Patient management, multidisciplinary, begins by an ENT assessment to assess buccal or laryngeal lesions and contraindication of gastroscopy. The latter must be conducted under sedation in an intubated and ventilated patient, with minimal insufflation, between 6 to 24 hours after ingestion. Endoscopic injuries must be described according to the Zargar classification. Bronchoscopy is necessary in case of necrosis of the upper 2/3 of the esophagus. The role of gastroscopy in the assessment may be narrowed in the future and replaced by thorax and abdomen CT scan. Copyright © 2019 John Libbey Eurotext.

Language: fr

Keywords

human; Review; Neck; disease classification; sedation; patient care; necrosis; ingestion; caustic burn; Caustic ingestion; bronchoscopy; larynx injury; caustic agent; gastroscopy; esophagus injury; Thorax; ventilated patient; x-ray computed tomography; Abdomen CT scan; contraindication; Gastro-intestinal endoscopy; Zargar classification