[Diagnostic and therapeutic management of digestive caustic burns]

Abstract

Caustic burns of the upper gastrointestinal tract are a common emergency. Outcome is generally favorable. Endoscopic fiberoptic examination is the most accurate exam for evaluation of the extent of corrosive injuries. In case of severe caustic burns, surgical intervention allows removal of necrotic tissues, and prevent the extent of burns to the adjacent organs. Blunt esophageal stripping, combined with total gastrectomy is then the intervention of choice. Superficial burns usually recover without sequela, or with esophageal or gastric stenosis. Secondary coloplasty is advocated for treatment of failure of endoscopic dilatations, and for digestive reconstruction after initial esophagogastrectomy.