Endoscopy is the main choice of handling caustic ingestion.
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Do not place a nasogastric tube on the caustic ingestion before endoscopy.
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Surgery is considered when x-ray results show damaged abdominal and chest.
Abstract
Background
Caustic ingestion causes high mortality and morbidity, so it is necessary to perform effective management for this case, especially in low-resource settings.
Case presentation
A 58-year-old male with caustic intoxication. The patient had acute complications in the form of hematemesis caused by gastric burns. The patient underwent immediate endoscopy and a Grade-IV Zargar gastric injury was noted. The patient was treated conservatively. He was given nutrition, proton pump inhibitors, antibiotics, and other supportive therapy during treatment.
Discussion
Insertion of a nasogastric tube in patients with caustic ingestion should be carried out after endoscopy or during endoscopy.
Conclusion
Endoscopy plays an important role in the acute management of caustic ingestion.