RT Book, Section
A1 Su, Stacey
A1 Lukanich, Jeanne M.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105840823
T1 Surgical Management of Corrosive Injury to the Esophagus
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105840823
RD 2024/04/19
AB While  accidental  ingestion  of  caustic  materials  is  more  common  in  children,  intentional  ingestion  is  the  leading  cause  of  caustic  esophageal  injury  in  adults.  The  diagnosis  should  be  suspected  in  all  patients  brought  to  the  emergency  ward  for  attempted  suicide.  The  injury  may  be  fatal  and  warrants  immediate  treatment.  Identifying  the  nature  of  the  ingested  substance  is  paramount  to  proper  management  because  the  severity  and  nature  of  the  injury  are  related  to  the  chemical  and  physical  properties  of  the  caustic  agent  (i.e.,  acid  vs.  base,  solid  vs.  liquid,  concentration,  quantity,  and  duration  of  contact  with  esophageal  tissues).1  These  exposures  cause  injuries  ranging  in  severity  from  first-,  second-,  or  third-degree  burn  to  full-thickness  necrosis  and  frank  perforation,  often  requiring  surgical  treatment.