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Corrosive Esophagitis


• Accidental or suicidal ingestion of corrosive substances can cause serious damage to the esophagus and stomach.
• The most important determinant of corrosive damage is the type, amount, concentration, physical property (solid or liquid) and contact time with the mucosa.
• Esophageal perforation in the presence of severe retrosternal or back pain; In the presence of severe abdominal pain, tenderness and rebound, gastric perforation should be considered.
• In cases where perforation is suspected, direct radiographs should be taken first.
• Endoscopy should be performed in the early period after perforation is ruled out to confirm the diagnosis and determine the damage rate.
• Inducing vomiting and nasogastric application to remove swallowed material should be strictly avoided. These processes are mucous! can increase damage.
• Patients with severe injuries are followed with conservative treatment in the intensive care unit, and if perforation develops, they are given to surgery.
• The most important sequela is esophageal stricture. The risk of esophageal squamous cell cancer increases.
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