title: Nonsurgical management of severe esophageal and gastric injury following alkali ingestion.
abstract: The ingestion of caustic substances may result in significant gastrointestinal injury. Endoscopy can play a major role in the initial evaluation and subsequent therapy of such injuries. The case of a 50-year-old man who ingested an alkaline floor stripper is described, including the endoscopic management of esophageal and pyloric strictures, with good functional results. The role of endoscopy, steroids and acid suppression in the management of such patients is also explored.
authors.affiliation: Division of Gastroenterology, Queen's University, Kingston, Canada.
authors.forename: R D
authors.initials: RD
authors.lastname: Abaskharoun
authors.forename: W Thomas
authors.initials: WT
authors.lastname: Depew
authors.forename: L C
authors.initials: LC
authors.lastname: Hookey
mesh_terms: D000468:Alkalies / Q000506:poisoning*; D002057:Burns, Chemical / Q000175:diagnosis* / Q000628:therapy; D002424:Caustics / Q000506:poisoning; D019468:Disease Management; D016145:Endoscopy, Digestive System; D004947:Esophagus / Q000293:injuries; D005744:Gastric Acid; D006801:Humans; D008297:Male; D008875:Middle Aged; D013256:Steroids / Q000627:therapeutic use; D013270:Stomach / Q000293:injuries; D041742:Upper Gastrointestinal Tract / Q000293:injuries*
chemical_list: D000468:Alkalies; D002424:Caustics; D013256:Steroids