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.