Pattern of corrosive ingestion injuries in Port Harcourt: A ten year review

Authors

  • Lucky Onotai Department of Ear Nose and throat Surgery, University of Port Harcourt teaching hospital, Port Harcourt, Nigeria
  • Augustine Nwogbo Department of Ear Nose and throat Surgery, University of Port Harcourt teaching hospital, Port Harcourt, Nigeria

DOI:

https://doi.org/10.60787/tnhj.v10i1-2.34

Keywords:

Corrosive ingestion, Esophageal strictures

Abstract

Background: Corrosive substance ingestion is a Global health concern as it results in varied damage to the digestive tract, ranging from minor injury to strictures, and sometimes even death. In the developing world the morbidity of corrosive ingestion particularly corrosive esophageal burns remains a significant but overlooked problem. The objective of this study is to determine the pattern of corrosive ingestion as seen in University of Port- Harcourt Teaching Hospital (UPTH) over a ten year period.

Methodology: This is a retrospective descriptive study of the patients who were admitted with a history of corrosive ingestion to the department of Ear, Nose and Throat (E.N.T) surgery of UPTH over a ten year period (March 2005 to March 2010). Demographic and clinical data was obtained from the clinical records of the subjects and analyzed.

Results: Thirty cases were seen over the study period. The age range of the patients was 2-47 years old with a mean of 23.9 ± 13.4 years. Among adults there was a high incidence in the third decade while in children there was a high incidence among the under-five. The most common type of corrosive ingested was caustic soda in 40% of cases. The commonest complication was esophageal stricture (40%). Fifty percent of cases were due to suicide attempt, while 9 (30%) cases were accidental ingestion of which all were children. The commonest clinical presentation was odynophagia (30%) while mortality accounted for 10% 0f cases.

Conclusion: Corrosive injury is still a major surgical emergency in our society which carries a major risk of several complications (mainly esophageal stricture). There is a need for preventive measures to avoid accidental ingestion especially in children.

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References

Arevalo-Silva C, Eliashar R, Wohlgelernter J, Elidan J, Gross M. Ingestion of caustic substances: A 15-year experience. Laryngoscope 2006; 116:1422-6.

Litovitz T. L, Swartz W. K, White S, et al. Annual report of the American Association of Poison Control Centers. Am J Emerg Med. 2001;19:337395

Gumaste VV, Dave PB. Ingestion of corrosive substances by adults. Am J Gastroenterol. 1992; 87:15.

Ogunleye AO, Nwaorgu OGB, Grandawa H. Corrosive oesophagitis in Nigeria clinical spectrum and implications. Trop doct 2002; 32(2) 78-80

Zargar SA, Kuchhar R, Mehta S, et al. The role offibroptic endoscopy in the management of corrosive ingestion and modified endoscopic classification ofburns. Gastrointest Endosc. 1991; 37:165169.

Mutaf O, Genc A, Herek O, et al. Gastroesophageal reflux: A determinant in the outcome of caustic esophageal burns. J Pediatr Surg. 1996; 31:14941495.

Bautista A, Varela R, Villanueva A, et al. Motor function of the esophagus after caustic burn. Eur J Pediatr Surg. 1996; 6:204207

Nicosia JF, Thornton JP, Folk FA, et al. Surgical management of corrosive gastric injuries. Ann Surg. 1974; 180:139143.

Dilwari JB, Sing S, Rao PN, et al. Corrosive acid ingestion in man: A clinical and endoscopic study. Gut. 1984; 25:183187.

Zagar SA, Kochhar R, Nagar B, et al. Ingestion ofcorrosive acid. Gastroenterology. 1989; 97:702707

Hawkins DB, Demeter MJ, Barnett TE. Caustic ingestion: controversies in management. A review of 214 cases. Laryngoscope. 1980; 90:98109.

Marshall F. Caustic burns of the esophagus: Ten-year results of aggressive care. South Med 1979;74:590-4

Leape LL, Ashcraft KW, Scarpelli DG, Holder TM. Hazard to health-liquid lye. N Engl J Med 1971; 284:578-81

Wasserman RL, Ginsburg CM. Caustic substance injuries. J Pediatr 1985; 107:169-74.

Yu C H, Yen HY, Hong SL, Mei HC. Corrosive esophagitis in children. Pediatr Surg Int 2004; 20:207-10.

Yasar D, Tulay E, Fügen CC, Tufan K. Caustic Gastroesopageal lesions in childhood: An analysis of473 cases. Clin Pediatr (Phila) 2006; 45:435-8.

Al-Binali A. M, Al-Shehri M. A, Abdelmoneim I, Shomrani A. S, Al-Fifi S. H. Pattern of corrosive ingestion in southwestern Saudi Arabia. Saudi J Gastroenterol 2009;15:15-7

Skucas J. Contrast media. In: Gore R, Levine M, Laufer I, eds. Textbook of Gastrointestinal Radiology. Philadelphia: WB Saunders; 2000:214

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Published

2015-11-30

How to Cite

Onotai, L., & Nwogbo, A. (2015). Pattern of corrosive ingestion injuries in Port Harcourt: A ten year review. The Nigerian Health Journal, 10(1-2), 22. https://doi.org/10.60787/tnhj.v10i1-2.34
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