THE VALUE OF THE UPPER GASTRO-INTESTINAL TRACT ENDOSCOPY IN CASE OF BLEACH INGESTION: ABOUT 80 CASES

Aims:

Evaluate the input of the upper gastro-intestinal tract endoscopy in case of a bleach ingestion.

Methods:

It is a retrospective study over 5 years length period, from November 2013 to July 2018, collecting the results of gastrointestinal endoscopy performed on patients who ingested bleach.

Results:

Eighty patients, with a mean age of 27.71 years and extremes between 14 and 70 years old, majority of whom are females (81.25%) and a sex ratio of 4.33.

A oesophagitis stage I was found in 20 cases, stage IIa in 12, stage IIb in 5 others and a normal esophageal mucosa in 43 cases.

A gastritis stage I was concluded to in 51 patients, stage IIa in 17, a gastritis stage IIb in 3, stage IIIa in 1case and a normal gastric mucosa in 8 patients.

A bulbo duodénite stage I was objectified in 15 cases and 65 others have a strictly normal bulbo-duodenal mucosa.

Patients with esophagitis and gastritis stage IIa and IIb benefited from an endoscopic control a month after the first one noticing by a regression of lesions obtaining an œsophagitis stage I in 4 cases and a gastritis stage I in 7 others, the rest of patients had a strictly normal mucosa.

Conclusions:

The upper gastro-intestinal tract endoscopy seem to be of no use in case of a bleach ingestion due to the very low severity of lesions induced.