Corrosive Acid (Vixol®) Ingestion, Spectrum of Injury and Management

Authors

  • Sompong Wongpanyathaworn Department of Surgery, Taksin Hospital, Bangkok, Thailand

Abstract

A total of 10 patients with definite history of intentional corrosive acid ingestion, during the past 12 years at Taksin Hospital, were reported focussing on the spectrum of injury, recognition of the deep injury and its managemant. Most of the cases (9 out of 1O patients) were esophageal injury. Isolated involvement of esophagus and stomach were present in 3 and 1 patients, respectively. In 6 patients both were damaged. These findings are contrary to the general belief that the esophagus is spared in acid ingestion. The common site of esophageal injury was at 20 and 30 cm. from incisor-and just above esophagogastric junction. Periodic dilatation of esophagus may require more than 2 years in many cases and the outcome of these patients must depend on the compliance of patients and their families. Such compliance problem was overcome after the use of "Soft & Self balloon dilatation" in Taksin Hospital and esophageal reconstructive surgery were avoided in case of multiple sites or long segment stricture. False tract that was recognised during dilatation responded well to conservative treatment. The treatment of choice for pyloric stenosis is Billroth I gastrectomy.

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Published

1998-03-31

How to Cite

1.
Wongpanyathaworn S. Corrosive Acid (Vixol®) Ingestion, Spectrum of Injury and Management. Thai J Surg [Internet]. 1998 Mar. 31 [cited 2024 Jul. 18];19(1):17-24. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250005

Issue

Vol. 19 No. 1 (1998): January - March

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.