Abstract
IntroductionCaustic ingestion carried a diagnostic and therapeutic emergency which must be managed in intensive care. The esogastroduodenal endoscopy is the main initial examination. The aim of this study is to establish an epidemiological analysis of caustic ingestion in adults and to compare it with the literature.Materials and methodsThis is a prospective study of 314 adult patients recruited over a period of 36 months from January 1st, 2006 to December 31, 2008; for caustic ingestion.ResultsThe average age of our patients (n=314) was of 28.12±12. 00 years (15–79 years). The sex-ratio was of 1.3 and 10.2% of our patients had a psychotic disorder. The acid ingestions are frequents (41.4%) compared to the oxidants (35.5%) and the alkali (19.7%). The liquid form of caustic substance was predominant (99.3%).The introduced quantity was not determined in 64.3% of the cases. The endoscopic lesions were divided into (grade 0: 17.9%) (grade Ia: 25.3%), (grade Ib: 5.3%) (grade IIa: 10.9%), (grade IIb: 18.2%) (grade IIIa: 9.8%), (stage IIIb: 11.2%).The grade IV was rare (1.4%). The majority of the endoscopic lesions were found in the esophagus and the stomach.ConclusionThe frequency of caustic ingestions reports the ascendancy with which the caustic substances are sold in commerce without any legislative oversight. The prevention lies in toxicological information on households and early detection of suicide attempts.
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