Corrosive oesophagitis in Nigeria: clinical spectrums and implications.
نویسندگان
چکیده
Ingested corrosive agents produce oropharyngeal and gastro-oesophageal injuries ranging from minor burns to severe necrosis, depending on the agent, amount, concentration and duration of exposure. A 10-year (1990-1999) study of 23 corrosive oesophagitis patients depicting the clinical spectrums and implications was done. There were 17 (74%) males and 6 (26%) females, with an average age of 16 years: 35% were in the first decade of life and 39% in the second, with an average occurrence of three new cases a year. The main corrosive agents were alkali (NaOH) 48% and sulphuric acid 39%. The factors that predisposed to corrosive ingestion included: accidental 43%; suicidal 35%; homicidal 13% and 'therapy' 9%. Of the accidental cases 60% were seen in children; 75% of suicide attempts were in the second decade of life. Eleven (48%) patients developed complications, namely laryngeal stenosis 4% and oesophageal strictures 44%. The hospital stay ranged from 2-4 weeks. Awareness of the dangers of corrosive ingestion should be extensively publicized. Government regulations permitting the sales and procurement of corrosive substances should be strictly enforced and, if not yet in place, should be enacted without further delay.
منابع مشابه
Chemical injuries of the oesophagus: aetiopathological issues in Nigeria
BACKGROUND Chemical injuries of the oesophagus occur worldwide. There is paucity of information on aetiopathological profile of chemical injuries of the oesophagus in Nigeria. AIM The aim of the study was to determine the aetiopathological pattern of chemical injuries of the oesophagus in Nigeria. MATERIALS AND METHODS This is a multi-centre hospital based study in Lagos metropolis spanning...
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PURPOSE The effectiveness of platelet-rich plasma (PRP), thymoquinone, and zeolite in corrosive esophageal burns was investigated in a rat model. METHODS Four groups were comprised as containing 10 rats in each group. For group I, oesophagitis was induced and no other procedure was performed (control group). For group II, oesophagitis was induced and thymoquinone was administered for 1 week v...
متن کاملAcute corrosive oesophagitis.
A review of the literature on the management of corrosive oesophagitis with subsequent stricture formation reveals a wide variation of opinion as to suitable treatment. European methods were at variance with those of North America. General practitioners, paediatricians, and internists tackled the problem from different points of view, and even among otolaryngologists there was considerable dive...
متن کاملCorrosive oesophageal injuries: a preventable menace
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متن کاملERRATUM: Correction of funding statement in ACKNOWLEDGEMENTS section. Effectiveness of thymoquinone, zeolite, and platelet-rich plasma in model of corrosive oesophagitis induced in rats
[This corrects the article on p. 396 in vol. 92, PMID: 28580343.].
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عنوان ژورنال:
- Tropical doctor
دوره 32 2 شماره
صفحات -
تاریخ انتشار 2002