Keywords
caustic products
esophagus
Bangui
How to Cite
Abstract
Introduction :
Caustic ingestion is a medical and surgical emergency. It often leads to complications, the most common of which is stenosis. Management is multidisciplinary.
Objective :
To describe the management of caustic ingestion in Bangui. Patients and Methods: We conducted a 7-year cross-sectional analytical study, from January 1, 2017, to December 31, 2023, including patients under 18 years of age who had ingested caustic products and who underwent upper gastrointestinal endoscopy.
Results :
We collected 67 (47 men (70%) and 20 women (30). The average age was 34 years with extremes of 18 and 78 years. The ingestion of caustic was voluntary in 55 cases (82%) and accidental in 12 cases (18%). The causes of voluntary ingestion were family conflict in 85% and the loss of a valuable object in 15%. The main products ingested were sulfuric acid (37%) and caustic soda (34%). The main clinical signs were abdominal pain (77%), vomiting (61.2%) and odynophagia (52%). Digestive endoscopy had observed stage IIIb esophageal lesions in (27.1%). All patients were put on a strict diet Endoscopic control showed regression of caustic lesions in 15 cases and caustic stenosis in 15. The 15 patients with gastrointestinal tract stenosis underwent feeding gastrostomy (20%) or feeding gastrostomy (40%) and jejunostomy. The outcome was marked by improvement in general condition in 27% and death in 73%.
Conclusion :
Caustic ingestion is common, most often voluntary in young adults. It often progresses to stenosis, the management of which remains difficult in our context.
References
1. Mourey F, Martin L, Jacob L. Les brûlures caustiques de l’œsophage. In Conférence d’actualisation Service Anesthésie Réanimation. Paris : Elsevier ; 1996. P.595-606.
2. CHIRICA Mircea. Prise en charge de l'ingestion de caustique. Post’U 2023 ; 81-89. https://www.fmcgastro.org/wpcontent/uploads/2022/07/Modèle081_023_CHIRICA.pdf.
3. Mourey F, Martin L, Jacob L. Brulures caustiques de l’œsophage. Service d’anesthésie-réanimation chirurgicale, hôpital Saint-Louis, Paris cedex 10. Service d’anesthésie réanimation France 1996 ; 75175 :1-15
4. Ahlam El Ghmari, Kaoutar Ezzouak, Maria Lahlali, Asmae Lamine, Nada Lahmidani, Mounia El Yousfi, Sidi Adil Ibrahimi, Mohammed El Abkari, Dafr-Allah Benajah, Hakima Abid. Ingestion of caustic products: About 270 cases. International Journal of Academic Health and Medical Research 2023; 7(2):6-12.
5. Deby Gassaye, Camengo Police SM, Atipo-Ibara BI, Okouo M, Ngoma Nkandoulou Ph, Ibara JR, Itoua-Ngaporo A. Les ingestions de caustiques : aspects épidémiologiques, cliniques, endoscopiques et évolutifs. Bulletin Médical d’Owendo 2009;12(34):40-42.
6. Bouabdellah S, Hannache K, Benmati A, Kellil M, Bouhroum A, Roula D. Analyse épidémiologique des lésions digestives caustiques chez l’adulte. Journal Africain d’Hépato-gastroentérologie 2012 ; 6 : 264-71 ;
7. Fieux F Le Gal C, Chirica M, Gornet JM, Jacob L. Ingestion de produits ménagers caustiques essentiellement) : évaluation de la gravité e du pronostic. Urgences 2013; 12:1-20.
8. Hammoudi N, My-Linh Tran-Minh, Zagdansk AMi, Corte H, Cattan P, Gornet JM. Prise en charge des ingestions de caustiques : plus de place pour l’endoscopie en urgence. HépatoGastro & Oncologie Digestive 2020;27(9):882-9.
9. Fakhry N, Rossi ME, Reyre A. Anatomie descriptive, radiologique et endoscopique du pharynx. EMC - Oto-rhino-laryngologie. 2014;9(2):1-14 [Article 20-491-A-10]. DOI: 10.1016/S0246-0351(13)46979-9
10. Moreau S, Goullet de Rugy, Babin E, Valdazo A, Delmas P. Anatomie et physiologie de l'œsophage. EMC Oto-Rhino-Laryngologie 01/01/1999 [20-800-A-10] https//www.emconsulte.com/article/1340/anatomie-etphysiologie-de-l-œsophage ? OWASP CSFFTOKEN
11. Prades JM, Asanau A. Anatomie et physiologie de l’œsophage. EMC - Oto-rhino-laryngologie. 2011;6(3):1-14 [Article 20-800-A-10]. DOI: 10.1016/S0246-0351(11)56081-7
12. Schmutz G, Le Pennec V, Dédé S-N, Binsse S, Perdriel B, Saoud M. Anatomie et imagerie du duodénum. EMC-Radiologie 2005;2(3):256-271. https://doi.org/10.1016/j.emcrad.2005.04.003Get rights and content
13. Lazartigues J, Lamarque D. Ingestion de caustique : quand et que voir ? Hépato Gastro & Oncologie Digestive 2018;25 : 32-37. doi : 10.1684/hpg.2018.1702
14. Zargar SA, Kochhar R, Mehta S, et al. The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns. Gastrointestal Endoscopy 1991 ; 37 (2) : 165-9.
15. Chirica M, Bonavina L, Kelly MD, Sarfati E, Cattan P. Caustic ingestion. Lancet 2017; 389(10083):2041-52.
16. Fieux F, Losser MR, Bourgeois E, et al. Kidney retrieval after sudden out of hospital refractory cardiac arrest: a cohort of uncontrolled non heart beating donors. Critical 2009 ;13(4) : R141.
17. Mignonsin D, Yassibana S, Camara B, Gnionsahe A, Sampson C, Kane M, Bondurand A. Intoxication par les produits caustiques : étude épidémiologique et approche thérapeutique. Médecine d’Afrique Noire 1992;39(4):306-311.
18. Olugbemiga Adedeji T, Tobih JE, Olugbenga Olaosun A, Ayodele Sogebi O. Corrosive oesophageal injuries : a preventable menace. Pan African Medical Journal 2013 ; 15 :11. Doi :10.11604/pamj.2013.15.11.2495
19. Hao-Tsai Cheng, Chi-Liang Cheng1,2, ChengHui Lin1,2, Jui-Hsiang Tang1,2, Yin-Yi Chu1,2, Nai-Jen Liu*1,2 and Pang-Chi Chen. Caustic ingestion in adults: The role of endoscopic classification in predicting outcome. BMC Gastroenterology 2008;8:31 doi:10.1186/1471-230X-8-31 ;
20. Bedou M, Lahmidani N, Figuigui M, Lahlali M, Lamine A, Abid H, Elyousfi M, Benajah D, El Abkari M, Ibrahimi A. Prise en charge des ingestions caustiques : experience du CHU Hassan II de Fès. International Journal Advanced Research 2020 ; 8(04), 205-214.
21. Atipo-Ibara BI, Camengo Police SM, Deby G, Okouo M, Ngoma Nkadoulou Ph, Ibara JR et al. Le coût de la prise en charge hospitalière des ingestions de caustiques au CHU de Brazzaville. Journal Africian dHépato-Gastroentérologie 2009; 3:153-156.
22. Saké K, Fanou Coffi D, Agbeille Mohamed F, Hountondji AA, Tamou Sambo Bio E, Tchaou Blaise A et al. Endoscopic Aspects of Caustic Injuries of the Upper Gastrointestinal Tract in Parakou, Benin Republic: A Multicenter Study. Journal of Biosciences and Medicines 2023; 11:15-24.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 O Youssouf, N Boua-akelelo, G Jacque, N Gambo Ignaléamoko, E Kobelembi Mofini, J Elowa, B Bessanguem, H Komaria, A Kobelembi, A Yangba Kalebanga, G Service, S Diallo Mamadou, I Hamidine, S Camengo Police