Iranian Journal of Toxicology
مجله سم شناسی و مسمومیتهای ایران
IJT
Medical Sciences
http://ijt.arakmu.ac.ir
1
admin
2008-2967
2251-9459
8
10.61186/ijt
14
8888
13
en
jalali
1393
3
1
gregorian
2014
6
1
8
25
online
1
fulltext
en
A middle age addicted man with caustic stomach
A middle age addicted man with caustic stomach
تخصصي
Special
پژوهشي
Research
<div align="left" style="direction: ltr"><b>Background:</b> The term caustic generally refers to alkaline and the term corrosive generally refers to acidic agents' injury however, in medical literature caustic is frequently a term applied to both substances. Ingested alkali typically damage the esophagus more than stomach or duodenum, whereas acids usually cause more severe gastric injury. Since esophagus has a slightly alkaline pH, its epithelium is more resistant to acids, so that only 6 to 20% of those who ingest these substances present lesions in this organ. <br><b>Case : </b>A middle-aged addicted man who drunk hydrochloric acid accidentally had extensive necrosis of the stomach with remarkable sparing of the esophagus on second look exploration. A total gastrectomy with a Roux-en-Y esophago-jejunostomy with feeding jejunostomy was performed.
<br><b>Conclusion : </b>In caustic GI injury, patients who are operated on and found to have no evidence of extensive esophago-gastric necrosis, a biopsy of the posterior gastric wall should be performed to exclude occult injury. If histologically there is a question of viability, a second look operation should be performed within 36 hours.
</div>
Acids,Caustics, Chemical Burns, Esophagus, Stomach Diseases/Chemically Induced.
Acids,Caustics, Chemical Burns, Esophagus, Stomach Diseases/Chemically Induced.
1093
1097
http://ijt.arakmu.ac.ir/browse.php?a_code=A-10-2-164&slc_lang=en&sid=1
Gholamreza
Nouri Broujerdi
غلامرضا
نوری بروجردی
rezanouri51@yahoo.com
10031947532846003170
10031947532846003170
Yes
Department of surgery, Amir Almomenin Hospital, Arak University of Medical Sciences, Iran.
Department of surgery, Amir Almomenin Hospital, Arak University of Medical Sciences, Iran.