Caustic Ingestion - 22/08/11
Doi : 10.1016/B978-0-323-05283-2.00212-3
“Those who cannot remember the past are condemned to repeat it.”
—George Santayana
Key Points |
• | Injuries from caustic ingestion are rare in the United States; 5000 to 15,000 occur per year. |
• | The current strict public policy on solution labeling and concentration was spearheaded by Jackson in the early 20th century. |
• | In developing nations without such policies, caustic injuries are more common. |
• | Acid ingestion leads to coagulative necrosis; alkali ingestion leads to liquefactive necrosis. |
• | The antrum of the stomach is the most vulnerable to acid ingestion; areas of anatomic narrowing are at greatest risk after alkali ingestion. |
• | Because of their resemblance to disk-shaped batteries, all coin-shaped foreign bodies should be removed expeditiously. |
• | Endoscopy is the most useful tool in assessing injury to the upper gastrointestinal tract. |
• | Typically, infant and toddler caustic ingestions are accidental, whereas adolescent and adult ingestions are suicide attempts. |
Plan
© 2010 Elsevier Inc. Tous droits réservés.
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