[Acute states in poisoning with corrosive substances]

Caustics are products which produces necrosis on contact place with chemical affinity to organic substance. Destroying intensity depend of types, concentration and quantity of product ingested. Poisons could be accidental and suicidal. Concentrated caustics rapidly produces necrosis, strong pain and severe general reaction on acute trauma, shock. Except the fact that acute burns with caustics products require an immediate diagnostic and therapeutic approach, this problem remains controversial. A retrospective analysis of 97 cases in last five years, including the war, in our ENT clinic done. Sex, age types and frequency of product ingested. Accidental, suicidal and the most often month it is happened analyzed. The acute diagnostic procedure in caustics ingestion are primarily directed toward the recognition of life-threatening complication such as shock, airway obstruction, perforation of inner organs and in severe acid ingestion, metabolic acidosis. esophagoscopy and endoscopy is accurate in predicting degree of esophageal injury. The aim of therapeutic procedures is to preserve homeostatic balance, to prevent shock and complication of acute hemorrhage or perforations as well as in the development of scar tissue and nepotistic strictures over time. The aim is to preserve the patients own esophagus. During long time experience treatment with diet, cortisone, antibiotics was successful in the prevention in the development of scar tissue and neoplastic strictures over time from esophageal II and III grade lesions.