Abstract
Caustic material ingestion injuries (CMI) are uncommon. Only 5,000 cases are reported in the United States each year and most acute care healthcare facilities admit only a few cases annually. Accordingly, no single institution can claim extensive experience, and management protocols are most probably based on either expert opinion or literature reports.In this study, we will attempt to review opinions and practices of representatives of the board members of the World Society of Emergency Surgery and compare them to the current literature.
Highlights
Caustic material ingestion injuries (CMI) are uncommon
Introduction/Background Caustic ingestion may result in significant injury to the entire gastrointestinal tract, but most significantly the upper tract, including the oropharyngeal cavity, larynx, esophagus, and stomach
The resultant severity of injury in caustic ingestion is determined by the type of ingested substance the amount and the time of tissue exposure
Summary
Caustic material ingestion injuries (CMI) are uncommon. No single institution can claim extensive experience, and management protocols are most probably based on either expert opinion or literature reports. Introduction/Background Caustic ingestion may result in significant injury to the entire gastrointestinal tract, but most significantly the upper tract, including the oropharyngeal cavity, larynx, esophagus, and stomach. The majority (68 %) of cases worldwide involve children as a result of unintentional, accidental ingestion of caustic substances. The remainder of cases reported are adults with psychiatric disturbances, some after suicide attempts, or alcoholics [1, 2]. The resultant severity of injury in caustic ingestion is determined by the type of ingested substance the amount and the time of tissue exposure. The Federal Caustic Act of 1927 was enacted, requiring appropriate labeling of caustic substances, such as lye. The Poison Prevention Packaging Act of 1970 directed the US Consumer Product Safety Commission to require childproof containers and improved labeling of caustics and other potentially
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