Abstract:
BACKGROUND: Caustic injuries of the upper digestive tract are severe conditions that result from the ingestion of corrosive substances. These injuries can lead to life-threatening complications and often require extensive medical intervention. The clinical presentation and prognosis of these injuries depend on numerous factors, including the type, concentration, and volume of the ingested substance, the duration of contact with mucosal surfaces, and individual predisposing factors. OBJECTIVE: The aim of this study was to assess the clinical characteristics and predisposing factors for complications of caustic injuries of the upper digestive tract in a clinical setting. METHODS: This was a cross-sectional survey involving 170 patients at Rawalpindi Medical College, Rawalpindi. The study used a questionnaire that focused on demographic data, clinical presentation, ingestion details, pre-existing medical conditions, severity of injury, and complications. The data were statistically analysed to establish correlations and draw insights. RESULTS: The majority of the participants were males (59%), with an average age of 45 years. The most common symptoms at presentation were oral pain (82%), dysphagia (71%), and drooling (59%). Household cleaners were the most commonly ingested substance (53%). Pre-existing conditions such as GERD (18%) and hiatal hernia (12%) were present in a significant number of patients. According to the Zargar classification, 47% of injuries were mild (Class I), 29% moderate (Class II), and 24% severe (Class III). Complications were reported in 35% of the patients, with strictures being the most common complication (58% of the complications). CONCLUSION: This study highlights the impact of demographic and clinical factors, ingestion details, and pre-existing medical conditions on the severity of caustic injuries and the development of complications. These findings underscore the need for public education on the dangers of corrosive substances, early clinical intervention, and comprehensive management plans.
Page(s):
23-28
DOI:
DOI not available
Published:
Journal: Journal of Health and Rehabilitation Research, Volume: 1, Issue: 1, Year: 2023
Keywords:
Complications
,
clinical characteristics
,
Predisposing factors
,
Upper digestive tract
,
Caustic injuries