Abstract

CAUSE OF MORTALITY AND MORBIDITY IN CAUSTIC INJURIES OF ADULTS

Esmaeil Hajinasrollah*, Hotan Alavi, Hadi Mirhashmi, Hasan Peyvandi, Bahador Oshidari and Faribors Rashno

Abstract

Objective: corrosive ingestion leads in vast majority aero-digestive injuries. Injury severity depends on the agent type, concentration, form and amount of ingested substance. The aim of this study was investigation of the outcomes to promote management strategies and reduction of mortality. Materials and Methods: As a retrospective study, between six years, we investigated 112 patients with the history of caustic ingestion were referred to Loghman Medical Center surgery ward. Patients were treated with medical or surgical measures based on the physical exam and endoscopy results. After discharge, patients were followed and further mortality and morbidity recorded. Results: A total of 112 patients, analysis. (67%) underwent early surgical intervention during acute phase of injury and the rest managed with conservative measures. Gastrointestinal (22.3%) and respiratory (20.5%) complications were the most leading causes of death. Respiratory complications were the main causes of death during primary admission. Despite of multiple interventions, after mean 2 years of follow up, just 31% of patients have normal eating. Conclusion: In cases of caustic ingestion, airway protection and precise estimation of aero-digestive injury besides appropriate surgical intervention can reduce the mortality rate.

Keywords: Caustic ingestion, Esophagealgastric caustic injury, Complication, Mortality.