Acute management of caustic injury patient in low-resource settings

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 ca...

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Detalles Bibliográficos
Autores principales: Dewanti, Sisilia, Kholili, Ulfa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8886029/
https://www.ncbi.nlm.nih.gov/pubmed/35231743
http://dx.doi.org/10.1016/j.ijscr.2022.106871
Descripción
Sumario: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.

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