Skip to main content

Emergency Management of Caustic Injuries

  • Chapter
  • First Online:
Acute Care Surgery Handbook

Abstract

Ingestion of corrosive agents, accidentally or with suicidal intent, is a rare but potentially devastating event [1]. Most patients present with mild injuries that resolve without sequels, but surgery is necessary in a small number of patients for the treatment of more severe injuries [1]. Emergency management of caustic injuries requires a multidisciplinary approach and involves emergency care physicians, surgeons, anesthesiologists, gastroenterologists, radiologists, otorhynolaryngologists, and psychiatrists [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Chirica M, Resche-Rigon M, Bongrand NM, Zohar S, Halimi B, Gornet JM, et al. Surgery for caustic injuries of the upper gastrointestinal tract. Ann Surg. 2012;256(6):994–1001.

    Article  PubMed  Google Scholar 

  2. Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol. 2013;19(25):3918–30.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hugh TB, Kelly MD. Corrosive ingestion and the surgeon. J Am Coll Surg. 1999;189(5):508–22.

    Article  CAS  PubMed  Google Scholar 

  4. Keh SM, Onyekwelu N, McManus K, McGuigan J. Corrosive injury to upper gastrointestinal tract: still a major surgical dilemma. World J Gastroenterol. 2006;12(32):5223–8.

    PubMed  PubMed Central  Google Scholar 

  5. Ramasamy K, Gumaste VV. Corrosive ingestion in adults. J Clin Gastroenterol. 2003;37(2):119–24.

    Article  PubMed  Google Scholar 

  6. Bonavina L, Chirica M, Skrobic O, Kluger Y, Andreollo NA, Contini S, et al. Foregut caustic injuries: results of the world society of emergency surgery consensus conference. World J Emerg Surg. 2015;10:44.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Zerbib P, Voisin B, Truant S, Saulnier F, Vinet A, Chambon JP, et al. The conservative management of severe caustic gastric injuries. Ann Surg. 2011;253(4):684–8.

    Article  PubMed  Google Scholar 

  8. Zargar SA, Kochhar R, Mehta S, Mehta SK. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc. 1991;37(2):165–9.

    Article  CAS  PubMed  Google Scholar 

  9. Cheng HT, Cheng CL, Lin CH, Tang JH, Chu YY, Liu NJ, et al. Caustic ingestion in adults: the role of endoscopic classification in predicting outcome. BMC Gastroenterol. 2008;8:31.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Zargar SA, Kochhar R, Nagi B, Mehta S, Mehta SK. Ingestion of corrosive acids. Spectrum of injury to upper gastrointestinal tract and natural history. Gastroenterology. 1989;97(3):702–7.

    Article  CAS  PubMed  Google Scholar 

  11. Estrera A, Taylor W, Mills LJ, Platt MR. Corrosive burns of the esophagus and stomach: a recommendation for an aggressive surgical approach. Ann Thorac Surg. 1986;41(3):276–83.

    Article  CAS  PubMed  Google Scholar 

  12. Andreoni B, Farina ML, Biffi R, Crosta C. Esophageal perforation and caustic injury: emergency management of caustic ingestion. Dis Esophagus. 1997;10(2):95–100.

    CAS  PubMed  Google Scholar 

  13. Chirica M, Resche-Rigon M, Pariente B, Fieux F, Sabatier F, Loiseaux F, et al. Computed tomography evaluation of high-grade esophageal necrosis after corrosive ingestion to avoid unnecessary esophagectomy. Surg Endosc. 2015;29(6):1452–61.

    Article  PubMed  Google Scholar 

  14. Do Dang G, L’Huillier M, Van Giai N, Van Orden JW. Coulomb sum rules in the relativistic Fermi gas model. Phys Rev C Nucl Phys. 1987;35(5):1637–45.

    Article  CAS  PubMed  Google Scholar 

  15. Di Saverio S, Biscardi A, Piccinini A, Mandrioli M, Tugnoli G. Different possible surgical managements of caustic ingestion: diagnostic laparoscopy for Zargar’s grade 3a lesions and a new technique of “Duodenal Damage Control” with “4-tubes ostomy” and duodenal wash-out as an option for extensive 3b lesions in unstable patients. Updates Surg. 2015;67(3):313–20.

    Article  PubMed  Google Scholar 

  16. Chirica M, Kraemer A, Petrascu E, Vuarnesson H, Pariente B, Halimi B, et al. Esophagojejunostomy after total gastrectomy for caustic injuries. Dis Esophagus. 2013;27:122–7.

    Article  PubMed  Google Scholar 

  17. Cattan P, Munoz-Bongrand N, Berney T, Halimi B, Sarfati E, Celerier M. Extensive abdominal surgery after caustic ingestion. Ann Surg. 2000;231(4):519–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Lefrancois M, Gaujoux S, Resche-Rigon M, Chirica M, Munoz-Bongrand N, Sarfati E, et al. Oesophagogastrectomy and pancreatoduodenectomy for caustic injury. Br J Surg. 2011;98(7):983–90.

    Article  CAS  PubMed  Google Scholar 

  19. Benjamin B, Agueb R, Vuarnesson H, Tranchart H, Bongrand NM, Sarfati E, et al. Tracheobronchial necrosis after caustic ingestion. Ann Surg. 2015;263:808–13.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mircea Chirica MD, PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Chirica, M., Munoz-Bongrand, N., Sarfati, E., Cattan, P. (2017). Emergency Management of Caustic Injuries. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15341-4_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15340-7

  • Online ISBN: 978-3-319-15341-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics