title: [Role of endoscopy in caustic gastroesophageal lesions].
abstract: From 1984 to 1989 we have examined endoscopically 191 patients who ingested, for different causes, some type of caustic substance. The mean age was 36.8 +/- 21 years. 57% were female and 43% males. The most common substance was lye (52%). The clinical symptoms consisted mainly of epigastric pain and odynophagia. The most prevalent lesion was oesophagitis, of variable degrees (58%). Complications related to the ingestion of the caustic appeared in 20% of the patients; three of them died. The most common sequela was oesophageal stenosis and secondly gastric stenosis. Males ingested acids more frequently than females (P less than 0.001). In 20% of the cases the ingestion of the caustic was for suicide while in children all the cases were accidents.
authors.affiliation: Sección de Endoscopia Digestiva, Servicio Aparato Digestivo, Hospital General Gregorio Marañón, Madrid.
authors.forename: J J
authors.initials: JJ
authors.lastname: Sebastián Domingo
authors.forename: L
authors.initials: L
authors.lastname: Santos Castro
authors.forename: A
authors.initials: A
authors.lastname: De Diego Lorenzo
authors.forename: D
authors.initials: D
authors.lastname: Castellanos Franco
authors.forename: V
authors.initials: V
authors.lastname: Pérez de Ayala
authors.forename: C
authors.initials: C
authors.lastname: Senent
mesh_terms: D000059:Accidents; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002057:Burns, Chemical / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D004940:Esophageal Stenosis / Q000209:etiology; D004941:Esophagitis / Q000139:chemically induced* / Q000175:diagnosis / Q000473:pathology; D004945:Esophagoscopy; D005260:Female; D005734:Gangrene; D005756:Gastritis / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D013406:Suicide, Attempted
vernacular_title: Papel de la endoscopia en las lesiones cáusticas gastroesofágicas.