Acute management of caustic injury patient in low-resource settings

Sisilia Dewanti, Ulfa Kholili

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Article number106871
JournalInternational Journal of Surgery Case Reports
Volume92
DOIs
Publication statusPublished - Mar 2022

Keywords

  • Caustic injury
  • Ingestion
  • Zargar scale

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