scholarly journals Corrosive Injuries of the Upper Gastrointestinal Tract

2017 ◽  
Vol 08 (04) ◽  
pp. 165-169
Author(s):  
Babu Lal Meena ◽  
Kumar Shwetanshu Narayan ◽  
Gopal Goyal ◽  
Surendar Sultania ◽  
Sandeep Nijhawan
Keyword(s):  
Gastrointestinal Tract ◽  
Outlet Obstruction ◽  
Clinical Problem ◽  
Upper Gastrointestinal Tract ◽  
Esophageal Injury ◽  
Caustic Ingestion ◽  
X Rays ◽  
Corrosive Injury ◽  
Airway Injury ◽  
Upper Gastrointestinal

ABSTRACTCorrosive injury of the upper gastrointestinal tract is a worldwide clinical problem, mostly occurring in children. Alkaline agents produce deeper injuries whereas acidic agents produce superficial injuries usually. Hoarseness, stridor, and respiratory distress indicate airway injury. Dysphagia, odynophagia, and drooling of saliva suggest esophageal injury whereas abdominal pain, nausea, and vomiting are indicative of stomach injury. X-rays should be done to rule out perforation. Endoscopy is usually recommended in the first 12–48 h although it is safe up to 96 h after caustic ingestion. Endoscopy should be performed with caution and gentle insufflation. Initial management includes getting intravenous access and replacement of fluids. Hyperemia and superficial ulcerations have excellent recovery while deeper injuries require total parenteral nutrition or feeding jejunostomy. Patients suspected of perforation should be subjected to laparotomy. Common complications after corrosive injury are esophageal stricture, gastric outlet obstruction, and development of esophageal and gastric carcinoma.

Gastric Teratoma: Unusual Cause for Bleeding of the Upper Gastrointestinal Tract in the Newborn

PEDIATRICS ◽  
1981 ◽  
Vol 67 (5) ◽  
pp. 721-724
Author(s):  
Mitchell S. Cairo ◽  
Jay L. Grosfeld ◽  
Robert M. Weetman
Keyword(s):  
Gastrointestinal Tract ◽  
Gastrointestinal Hemorrhage ◽  
Abdominal Mass ◽  
Outlet Obstruction ◽  
Upper Gastrointestinal Tract ◽  
Recurrent Bleeding ◽  
Rare Occurrence ◽  
Gastric Teratoma ◽  
Abdominal Radiographs ◽  
Upper Gastrointestinal

Bleeding of the upper gastrointestinal tract in the full-term newborn is a relatively benign and rare occurrence. This report describes a female infant with a gastric teratoma who experienced recurrent bleeding of the upper gastrointestinal tract as a neonate and infant secondary to gastric outlet obstruction. Anteroposterior and lateral abdominal radiographs revealed a large calcified abdominal mass with the pathognomonic features of a teratoma with a mandible and teeth. Gastric teratomas have not been previously reported as an etiologic or predisposing condition of gastrointestinal hemorrhage in two large reviews concerning this topic in the newborn and infant. This patient represents the 51st case and only the second female described in the literature. The frequency and unusual features of this treatable lesion, as well as the diagnostic approach to bleeding of the upper gastrointestinal tract in the newborn, are reviewed.

scholarly journals Corrosive injury of the upper gastrointestinal tract: the evolving role of a radiologist

2020 ◽  
Vol 93 (1114) ◽  
pp. 20200528
Author(s):  
Ayushi Agarwal ◽  
Deep Narayan Srivastava ◽  
Kumble Seetharama Madhusudhan
Keyword(s):  
Gastrointestinal Tract ◽  
Ct Scan ◽  
Upper Gastrointestinal Tract ◽  
Stricture Formation ◽  
Emergency Setting ◽  
Oral Contrast ◽  
Long Term Outcome ◽  
Corrosive Injury ◽  
Upper Gastrointestinal

Corrosive injury is a devastating injury which carries significant morbidity. The upper gastrointestinal tract is predominantly affected with severity ranging from mild inflammation to full thickness necrosis which may result in perforation and death. Among the complications, stricture formation is most common, causing dysphagia and malnutrition. Endoscopy has a pivotal role in the diagnosis and management, with a few shortcomings. Imaging has an important role to play. Besides radiography, there is an increasing role of CT scan in the emergency setting with good accuracy in identifying patients who are likely to benefit from surgery. Further, CT scan has a role in the diagnosis of complications. Oral contrast studies help in assessing the severity and extent of stricture formation and associated fistulous complications in the subacute and chronic phase. The scope of intervention radiology for this condition is increasing. Fluoroscopy-guided balloon dilatation, drainage of collections or mucoceles, endovascular embolization of point bleeders, placement of feeding jejunostomy and image-guided biopsy are among the procedures that are being performed. Through this review we aim to stress the role the radiologist plays in the diagnosis and follow-up of these patients and in performing radiological interventions. Besides this, we have also highlighted few salient points to help understand the pathophysiology and management of such injuries which is paramount to ensure a good long-term outcome.

scholarly journals Endoscopic management of foreign bodies from the upper gastrointestinal tract in the hills of Himachal Pradesh, India: A 5-year tertiary care experience

2016 ◽  
Vol 07 (04) ◽  
pp. 144-147
Author(s):  
Brij Sharma ◽  
Sujeet Raina ◽  
Neetu Sharma ◽  
Rajesh Sharma ◽  
Neelam Grover ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Tertiary Care ◽  
Clinical Problem ◽  
Upper Gastrointestinal Tract ◽  
Endoscopic Management ◽  
Anatomical Location ◽  
Upper Endoscopy ◽  
Care Experience ◽  
Male Predominance ◽  
Upper Gastrointestinal

Abstract Background and Aim: Foreign body (FB) ingestion is a common clinical problem in medical practice. Endoscopy is the therapeutic method of choice for the management of FBs with minimal complications. The aim of this study is to report our experience and outcome in a 5-year period in dealing with FBs in the upper gastrointestinal tract (GIT) using upper endoscopy. Materials and Methods: The records of all the patients who presented to the Department of Gastroenterology and who underwent endoscopic management between January, 2010, and December, 2014, were reviewed with details on age, sex, type of FBs and its anatomical location, treatments, and outcomes. Results: A total of 59 patients were analyzed. Their age ranged from 2 years to 87 years. A male predominance was noticed (59.4%). Coins and chicken bone shared the most commonly encountered FBs. Esophagus was the most common site of trapping (49/59). Upper endoscopy successfully resolved the problem by FB removal in all patients, thus the overall success rate was 100%. No complications or mortalities due to FB ingestion or removal were observed throughout the study. Conclusion: In our experience, endoscopic management of FBs in upper GIT is a safe and highly effective procedure.

Corrosive injury of upper gastrointestinal tract by calcium oxide

2019 ◽  
Vol 38 (5) ◽  
pp. 460-461
Author(s):  
Mihoko Yoshida ◽  
Yosuke Matsumoto ◽  
Takanobu Suzuki ◽  
Satoshi Nishimura ◽  
Takahiro Kato ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Calcium Oxide ◽  
Upper Gastrointestinal Tract ◽  
Corrosive Injury ◽  
Upper Gastrointestinal

Clinical impact of upper gastrointestinal tract injuries in glyphosate-surfactant oral intoxication

1999 ◽  
Vol 18 (8) ◽  
pp. 475-478 ◽  
Author(s):  
C-Y Chang ◽  
Y-C Peng ◽  
D-Z Hung ◽  
W-H Hui ◽  
D-Y Yang ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Length Of Hospital Stay ◽  
Upper Gastrointestinal Tract ◽  
Esophageal Injury ◽  
Gastric Injury ◽  
Oral Ingestion ◽  
Grade 3 ◽  
Wbc Count ◽  
Strong Acids ◽  
Upper Gastrointestinal

1 Fifty patients with glyphosate-surfactant oral ingestion were studied with upper gastrointestinal (UGI) endoscopic grading using Zargar's modified grading system for mucosal corrosive injury. 2 Esophageal injury was seen in 68% of the patients, gastric injury in 72%, and duodenal injury in 16%. There were no grade 3 injuries. The upper gastrointestinal tract injuries caused by glyphosate-surfactant were minor in comparison with those by other strong acids. 3 The WBC count, amount of glyphosate-surfactant ingested, length of hospital stay and the occurrence of serious complications increased markedly in the group which had grade 2 esophageal injuries. Thus, the severity of the esophageal injuries may be a prognostic factor for the patient with glyphosate-surfactant ingestion. 4 The UGI endoscopy may be indicated for grading esophageal injury in patients who have ingested glyphosate-surfactant in amounts greater than 100 ml. Physicians should pay more attention to the patients with grade 2 or 3 esophageal injuries to prevent serious complications and to provide aggressive supportive care.

scholarly journals Corrosive Injury to the Upper Gastrointestinal Tract Due to Acid Ingestion

1990 ◽  
Vol 42 (Supplement) ◽  
pp. S43-S49 ◽  
Author(s):  
Takaya Tanaka ◽  
Naoshi Takeyama ◽  
Mineo Matsubara ◽  
Hideharu Yamanaka ◽  
Koshiro Hioki ◽  
...  
Keyword(s):  
Gastrointestinal Tract ◽  
Upper Gastrointestinal Tract ◽  
Corrosive Injury ◽  
Upper Gastrointestinal
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