Incidence, management and outcome of acid ingestion poisoning at tertiary care hospital
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 1
Abstract
Background: Acute poisoning is a medical emergency. Its pattern and outcome varies from place to place. It is important to know the nature, outcome and severity of acid poisoning cases in order to make appropriate prevention and treatment. Objectives: This study was aimed to access the incidence, management and outcome of acid ingestion poisoning at a tertiary care hospital. Material and Methods: A prospective cross-sectional study was carried out over a period of 3 years at a tertiary care hospital. Total of 50 subjects with acid ingestion were evaluated after taking informed consent. Appropriate investigations were done and data was analyzed using SPSS vs 20. Results: Most common age group was 18-30 years with 64% cases, next was 31-50 age group with 28% cases. Pain was most common (33) oropharyngeal finding, dysphagia was most common (27) esophageal finding in this study. Suicidal intentions were seen in 80% cases, accidental causes were reported by 14% while 6% were under the influence of alcohol. Strictures were common 86% among suicidal cases. Out of total 20 who presented within 12 hours, 15 (75%) showed normal on endoscopy and 5 (25%) showed stricture within 12 hours of presentation after acid ingestion. Follow up endoscopy showed normal finding in 64% cases, esophageal strictures were seen in 33% cases and 3% showed antral/pyloric strictures. Out of total 3 deaths, there was no any death in first 12 hours, all the deaths were seen after 12 hours. Conclusions: younger age and suicidal intentions were seems to be common causes of acid ingestion. Oesophageal strictures are commonly associated. All patients with acid ingestion should be subjected to early UGIE and after 6 weeks to identify stricture formation.
Authors and Affiliations
Mihir K Shah, Digant Patel
Keywords
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- EP ID EP471548
- DOI 10.26611/106911
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