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. 2022 Mar:92:106871.
doi: 10.1016/j.ijscr.2022.106871. Epub 2022 Feb 25.

Acute management of caustic injury patient in low-resource settings

Sisilia Dewanti  1 , Ulfa Kholili  2
Affiliations

Acute management of caustic injury patient in low-resource settings

Sisilia Dewanti et al. Int J Surg Case Rep. 2022 Mar.

Abstract

Background: Caustic ingestion causes high mortality and morbidity, so it is necessary to perform effective management for this case, especially in low-resource settings.

Case presentation: A 58-year-old male with caustic intoxication. The patient had acute complications in the form of hematemesis caused by gastric burns. The patient underwent immediate endoscopy and a Grade-IV Zargar gastric injury was noted. The patient was treated conservatively. He was given nutrition, proton pump inhibitors, antibiotics, and other supportive therapy during treatment.

Discussion: Insertion of a nasogastric tube in patients with caustic ingestion should be carried out after endoscopy or during endoscopy.

Conclusion: Endoscopy plays an important role in the acute management of caustic ingestion.

Keywords: Caustic injury; Ingestion; Zargar scale.

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Conflict of interest statement

Sisilia Dewanti and Ulfa Kholili declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
X-ray of the abdomen revealed no damage.
Fig. 2
Fig. 2
Endoscopy of the upper gastrointestinal tract showing Grade-IV Zargar scale.
See this image and copyright information in PMC

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