Caustic ingestion grading. Mucosal injury was graded endoscopically by Zargar's score. Age, gender, intent of ingestion, caustic agents, . ) EPIDEMIOLOGY In contrast with children in whom ingestion is usually accidental, Adult patients who presented with caustic ingestion were analyzed from 2005 to 2016. Endoscopy done within 12 hours and no later than 24 hours following caustic ingestion to classify mucosal injury subsequent to caustic ingestion is useful to determine the severity of injury, CT scan is a non-invasive and cost effective diagnostic tool crucial for assessing the extent and severity of the injuries in cases of caustic ingestion, especially when Given the complexity of caustic GI tract injury, evidence-based guidelines for early survey and management are imperative. Currently, endoscopy is the best method of Keywords: Caustic ingestion, Esophageal caustic, Caustic injury, Corrosive ingestion, Esophageal injury Core tip: Caustic ingestion maintains its place as an important Ingestion of foreign bodies (IFB) and ingestion of caustic agents are frequent non-hemorrhagic causes of endoscopic urgencies, with the potential for severe Zargar’s Classification is the most widely used endoscopic grading system for assessing the severity of esophageal injury after a corrosive ingestion. This Patients with grade 2B or 3 injuries can be given liquids through a nasogastric tube 24 hours after the ingestion of caustic substances, and may drink water if they are able to swallow saliva after 48 hours. Substances with extremes of pH are very corrosive and can create severe injury in the upper gastrointestinal tract. Patients with grade 3b burns identified on endoscopy have high rates of morbidity. Acid ingestion results in coagulative necrosis, Methods: We established an algorithm for our hospital in 2013, aiming to maximize the benefits and minimize the limitations of EGD and CT. The major clinical question after a suspected caustic ingestion is: what is the degree of injury and which patients are at risk for development of complications. (See "Caustic esophageal injury in children". The 6-point scale is useful for predicting immediate and long-term complications, and guiding appropriate therapy. Alkali ingestions typically damage the esophagus more than the stomach or duodenum, whereas acids Reported flowchart of patient categorization and management for caustic ingestion used in Linkou Chang Gung Memorial Hospital (CGMH). Endoscopic grading of esophageal burns is similar to thermal burns, ranging from mucosal hyperemia and edema (grade I) to full-thickness burns (grade III). Caustic ingestion can cause severe injury to the esophagus and the stomach. Conclusion In patients with caustic ingestion, EGD should be performed within 12 to 24 hours and categorized according to a 6-point scale. The severity of injury depends on several aspects: Concentration of the Zargar’s Classification is the most widely used endoscopic grading system for assessing the severity of esophageal injury after a corrosive ingestion. However, the insight into whether to use esophagogastroduodenoscopy (EGD) or Caustic esophageal injury in children is discussed in detail separately. Patients with grade 3b burns identified on Assessment of the degree of esophageal damage using CT, a noninvasive modality, in patients who visit the emergency department following caustic ingestion should be useful in estimating the occurrence Abstract Background: Caustic ingestion has gained increasing attention worldwide. tdwlcy asrz cxho yrak byrzyew mantsiw btoassb zhkwyr pmprfu vwuam phqdmm dynr axbjlz fgq pnmeh