The role of initial cineesophagography in caustic esophageal injury

The accurate assessment of caustic ingestion requires a vigorous attempt to obtain as much information concerning the type, concentration, and amount of corrosive agent ingested as possible. Although early endoscopy is crucial for assessing the existence of esophageal burns, an accurate prediction of outcome, (for example, stricture) may not be possible from endoscopic study alone. The role of contrast cineesophagography has not been properly emphasized in the surgical literature. Our analysis of the relative accuracy of endoscopy and cineesophagography in esophageal burn evaluation has emphasized that cineesophagography helps in early identification of those patients who will develop strictures. In our experience, cineesophagographically visualized abnormalities, specifically disordered motility, when interpreted within the context of historical facts and physical findings, most accurately prognosticates the outcome of caustic esophageal injuries.