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Acute management of caustic injury patient in low-resource settings
Sisilia Dewanti1, Ulfa Kholili1
1Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
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.
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