Original Article

Should Endoscopy be Performed in the Treatment of Accidental Corrosive Substance at the Acute Stage?


  • Ferhat İçme
  • Ayça Açıkalın
  • Osman Ersoy
  • Nalan Kozacı

Received Date: 18.12.2010 Accepted Date: 29.12.2010 Eurasian J Emerg Med 2011;10(1):1-4


We aimed to discuss the necessity and the ratios of oesophagogastroduodenoscopy (OGD) in patients diagnosed with accidental corrosive substance ingestion with their demographic datas.

Materials and Methods:

We retrospectivelyresearched the data of patients admitted to the emergency department with the diagnosis of accidental corrosive substance ingestion between January 2008 and November 2010. Suicidal ingestions were excluded from the study. We evaluated the patients’ age, sex, compliance, the time between ingestion and admission, type of admission, type of ingested agent, OGD plan and the results of the OGD.


Twenty eight patients (16 male, 12 female) had admitted to our emergency department with complaint of corrosive substance intake. Mean age of the patients was 38.0±14.4 (18-79) years. Sixteen substance was alkali, 3 were acidic. The other substances were not identifi ed because they were bleaches and ingridients of them were not written on the boxes of the substances. Gastroenterology consultation was requested to all of the cases. After the consultation endoscopy was performed to the 7 of the patients. The results were; two patients were grade 2A, one was grade 2B, 4 were grade 1 esophagitis. Grade 2B was hopitalized and the others were discharged after 24 hours observation.


The dispositon of the patients diagnosed with accidental corrosive substance ingestion after a detailed examination, laboratory evaluation, excluded perforation signs and concluded that 24 hours observation might be recommended because of the low amount of the corrosive ingestion.

Keywords: Corrosive substance ingestion, endoscopy