Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Dec;23(Suppl 4):S282-S286.
doi: 10.5005/jp-journals-10071-23305.

Corrosive Ingestion

Raja Kalayarasan  1 , Nilakantan Ananthakrishnan  2 , Vikram Kate  3
Affiliations

Corrosive Ingestion

Raja Kalayarasan et al. Indian J Crit Care Med. 2019 Dec.

Abstract

Corrosive ingestion remains a common problem in developing countries, such as India due to the lack of strict laws that regulate the sale of caustics. While appropriate treatment of the acute phase can mitigate tissue damage improper management of the acute corrosive injury is widely prevalent due to the limited experience of the individual physicians in managing this condition. The aim of this review is to summarize the epidemiology and pathophysiology of corrosive ingestion, principles in the management of acute phase injury, long-term effects of caustic ingestion, and prevention of corrosive ingestion.

How to cite this article: Kalayarasan R, Ananthakrishnan N, Kate V. Corrosive Ingestion. Indian J Crit Care Med 2019;23(Suppl 4):S282-S286.

Keywords: Caustic injury; Corrosive; Esophageal stricture; Gastric stricture; Poisoning.

PubMed Disclaimer

Conflict of interest statement

Source of support: Nil Conflict of interest: None

Figures

Figs 1A and B
Figs 1A and B
Upper gastrointestinal endoscopy findings in a patient with acute corrosive esophagogastric injury; (A) Grade IIIb injury of the gastric antrum. Pyloric opening marked with arrow; (B) Grade IIa/IIb injury of the esophagus
Figs 2A to C
Figs 2A to C
Contrast-enhanced computed tomography neck, thorax and abdomen of a patient with acute corrosive esophagogastric injury; (A) Pharyngeal mucosa shows normal contrast enhancement (arrow) suggestive of grade I injury); (B) Absent gastric wall enhancement (arrow) suggestive of grade III injury; (C) Esophageal perforation with contrast extravasation (arrow)
Flowchart 1
Flowchart 1
Emergency treatment algorithm for a patient with acute corrosive injury
Figs 3A and B
Figs 3A and B
(A) Thoracoscopic esophagectomy performed for a patient with transmural necrosis of the esophageal wall (arrow) with esophageal perforation; (B) Laparoscopic total gastrectomy performed for a patient with transmural necrosis of the gastric wall (arrow) with gastric perforation
Figs 4A and B
Figs 4A and B
(A) Specimen of total gastrectomy showing transmural necrosis of the gastric wall; (B) Esophagogastrectomy specimen showing esophageal and gastric transmural necrosis
See this image and copyright information in PMC

References

    1. Chirica M, Bonavina L, Kelly MD, Sarfati E, Cattan P. Caustic ingestion. Lancet. 2017;389(10083):2041–2052. doi: 10.1016/S0140-6736(16)30313-0. DOI: - DOI - PubMed
    1. Ananthakrishnan N, Kalayarasan R, Kate V. Corrosive injury of esophagus and stomach. In: Mishra PK, editor. Textbook of Surgical Gastroenterology, 1st ed., New Delhi, India: Jaypee; 2016.
    1. Lakshmi CP, Vijayahari R, Kate V, Ananthakrishnan N. A hospital-based epidemiological study of corrosive alimentary injuries with particular reference to the Indian experience. Natl Med J India. 2013;26(1):31–36. - PubMed
    1. Mowry JB, Spyker DA, Cantilena LR, Jr,, McMillan N, Ford M. 2013 Annual report of the american association of poison control centers’ national poison data system (NPDS): 31st annual report. Clin Toxicol (Phila) 2014;52(10):1032–1283. doi: 10.3109/15563650.2014.987397. DOI: - DOI - PMC - PubMed
    1. Pankaja S, Valooran G, Das S, Suvasini L, Aravind R, Kate V, et al. Isolated full thickness jejunal necrosis following sulphuric acid cocktail ingestion—a clinical case report—isolated corrosive jejunal necrosis. Surg Sci. 2011;2:338–340. doi: 10.4236/ss.2011.26072. DOI: - DOI

LinkOut - more resources