RSS-Feed abonnieren
DOI: 10.4103/ijri.IJRI_349_18
Corrosive injuries of the upper gastrointestinal tract: A pictorial review of the imaging features
Verantwortlicher Herausgeber dieser Rubrik: Financial support and sponsorship Nil.
Abstract
Corrosive ingestion is a common form of poisoning. Corrosive agents cause severe damage to the gastrointestinal (GI) tract. The most severe forms of injury can lead to mortality; however, the major concern with this type of injury is life-long morbidity. Upper GI endoscopy is the test of choice for assessing severity in the acute phase of the disease. The long-term management is based on the site, length, number, location, and tightness of the stricture. This information is best provided by the barium contrast studies. In this pictorial review, a spectrum of findings in patients with corrosive injuries of the esophagus and stomach is illustrated. The role of various imaging modalities including barium studies, endoscopic ultrasound, computed tomography, and magnetic resonance imaging is discussed.
Publikationsverlauf
Artikel online veröffentlicht:
23. Juli 2021
© 2019. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
-
References
- 1 Kluger Y, Ishay OB, Sartelli M, Katz A, Ansaloni A, Gomez CA. et al. Caustic ingestion management: World society of emergency surgery preliminary survey of expert opinion. World J Emerg Surg 2015; 10: 48
- 2 Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: A comprehensive review. World J Gastroenterol 2013; 19: 3918-30
- 3 Gumaste VV, Dave PB. Ingestion of corrosive substances by adults. Am J Gastroenterol 1992; 87: 1-5
- 4 Lakshmi CP, Vijayahari R, Kate V, Ananthakrishnan N. A hospital-based epidemiological study of corrosive alimentary injuries with particular reference to the Indian experience. Natl Med J India 2013; 26: 31-6
- 5 Ananthakrishnan N, Parthasarathy G, Kate V. Acute corrosive injuries of the stomach: A single unit experience of thirty years. ISNR Gastroenterol 2011; 2011: 914013
- 6 Ramasamy K, Gumaste VV. Corrosive ingestion in adults. J Clin Gastroenterol 2003; 37: 119-24
- 7 Lahoti D, Broor SL. Corrosive injury to the upper gastrointestinal tract. Indian J Gastroenterol 1993; 12: 135-41
- 8 Nagi B, Kochhar R, Thapa BR, Singh K. Radiological spectrum of late sequelae of corrosive injury to upper gastrointestinal tract. A pictorial review. Acta Radiol 2004; 45: 7-12
- 9 Zargar SA, Kochhar R, Nagi B, Mehta S, Mehta SK. Ingestion of corrosive acids: Spectrum of injury to upper gastrointestinal tract and natural history. Gastroenterology 1989; 97: 702-7
- 10 Zargar SA, Kochhar R, Nagi B, Mehta S, Mehta SK. Ingestion of strong corrosive alkalis: Spectrum of injury to upper gastrointestinal tract and natural history. Am J Gastroenterol 1992; 87: 337-41
- 11 Ananthakrishnan N, Parthasarathy G, Kate V. Chronic corrosive injuries of the stomach-a single unit experience of 109 patients over thirty years. World J Surg 2010; 34: 758-64
- 12 Postlethwait RW. Chemical burns of the esophagus. Surg Clin North Am 1983; 63: 915-24
- 13 Meena BL, Narayan KS, Goyal G, Sultania S, Nijhawan S. Corrosive injuries of the upper gastrointestinal tract. J Dig Endosc 2017; 8: 165-9
- 14 Mamede RC, de Mello Filho FV. Ingestion of caustic substances and its complications. Sao Paulo Med J 2001; 119: 10-5
- 15 Zargar SA, Kochhar R, Mehta S, Mehta SK. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointest Endosc 1991; 37: 165-9
- 16 Chiu HM, Lin JT, Huang SP, Chen CH, Yang CS, Wang HP. Prediction of bleeding and stricture formation after corrosive ingestion by EUS concurrent with upper endoscopy. Gastrointest Endosc 2004; 60: 827-33
- 17 Bahrami-Motlagh H, Hadizadeh-Neisanghalb M, Peyvandi H. Diagnostic accuracy of computed tomography scan in detection of upper gastrointestinal tract injuries following caustic ingestion. Emerg (Tehran) 2017; 5: e61
- 18 Lu L-S, Tai W-C, Hu M-L, Wu K-L, Chiu Y-C. Predicting the progress of caustic injury to complicated gastric outlet obstruction and esophageal stricture, using modified endoscopic mucosal injury grading scale. Biomed Res Int 2014; 2014: 919870
- 19 Cheng H-T, Cheng C-L, Lin C-H, Tang J-H, Chu Y-Y, Liu N-J. et al. Caustic ingestion in adults: The role of endoscopic classification in predicting outcome. BMC Gastroenterol 2008; 8: 31
- 20 Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I. Radiologic diagnosis of benign esophageal strictures: A pattern approach. RadioGraphics 2003; 23: 897-909
- 21 Gupta S, Levine MS, Rubesin SE, Katzka DA, Laufer I. Usefulness of barium studies for differentiating benign and malignant strictures of the esophagus. Am J Roentgenol 2003; 180: 737-44
- 22 Franken EA. Caustic damage of the gastrointestinal tract: Roentgen features. Am J Roentgenol Radium Ther Nucl Med 1973; 118: 77-85
- 23 Gündoǧdu HZ, Tanyel FC, Büyükpamukçu N, Hiçsönmez A. Colonic replacement for the treatment of caustic esophageal strictures in children. J Pediatr Surg 1992; 27: 771-4
- 24 Chaudhary A, Puri AS, Dhar P, Reddy P, Sachdev A, Lahoti D. et al. Elective Surgery for Corrosive-Induced Gastric Injury. World J Surg 1996; 20: 703-6
- 25 Kochhar R, Mehta SK, Nagi B, Goenka MK. Corrosive acid-induced esophageal intramural pseudodiverticulosis a study of 14 patients. J Clin Gastroenterol 1991; 13: 371-5
- 26 Keh SM, Onyekwelu N, McManus K, McGuigan J. Corrosive injury to upper gastrointestinal tract: Still a major surgical dilemma. World J Gastroenterol 2006; 12: 5223-8
- 27 Levine M, Moolten D, Herlinger H, Laufer I. Esophageal intramural pseudodiverticulosis: A re-evaluation. Am J Roentgenol 1986; 147: 1165-70
- 28 Lurie Y, Slotky M, Fischer D, Shreter R, Bentur Y. The role of chest and abdominal computed tomography in assessing the severity of acute corrosive ingestion. Clin Toxicol (Phila) 2013; 51: 834-7
- 29 Ryu HH, Jeung KW, Lee BK, Uhm JH, Park YH, Shin MH. et al. Caustic injury: Can CT grading system enable prediction of esophageal stricture?. Clin Toxicol (Phila) 2010; 48: 137-42
- 30 De Lusong MAA, Timbol ABG, Tuazon DJS. Management of esophageal caustic injury. World J Gastrointest Pharmacol Ther 2017; 8: 90-8
- 31 Rana SS, Bhasin DK, Singh K. Role of endoscopic ultrasonography (EUS) in management of benign esophageal strictures. Ann Gastroenterol 2011; 24: 280-4
- 32 Lepke RA, Libshitz HI. Radiation-induced injury of the esophagus. Radiology 1983; 148: 375-8
- 33 Bonavina L, DeMeester TR, McChesney L, Schwizer W, Albertucci M, Bailey RT. Drug-induced esophageal strictures. Ann Surg 1987; 206: 173-83
- 34 Tishler JM, Han SY, Helman CA. Esophageal involvement in epidermolysis bullosa dystrophica. AJR Am J Roentgenol 1983; 141: 1283-6
- 35 Cho SR, Sanders MM, Turner MA, Liu CI, Kipreos BE. Esophageal intramural pseudodiverticulosis. Gastrointest Radiol 1981; 6: 9-16