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 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.