Abstract
Emergency gastrointestinal endoscopy for patients who have ingested a caustic substance may overestimate burn injury and lead to unnecessary gastric resection. Caustic gastric lesions of stage III, without immediate life threat, do not systematically require an emergency total gastrectomy. This work was to evaluate the results of a conservative attitude of gastric stage III in two patients, by only proposing surgery in the presence of clinical, biological and radiological signs of severity. Reconstructive surgery and/or endoscopic dilation may be considered depending on the occurrence of strictures. We report two cases of caustic burn of the upper digestive tract in adults at the Sominé Dolo hospital in Mopti. Both patients were referred for surgery for partial gastrectomy with gastro - entero -anastomosis. The postoperative follow-up was simple and an endoscopic control carried out on D 15 and D 30 postoperatively did not find any obstacle at the level of the anastomoses. Cardial stenosis benefited from dilation sessions at a rate of 21 days until satisfaction.
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