CLINICAL MEDICINE

Detailed explanation-1: -The primary non-surgical treatment of caustic esophageal stricture is endoscopic dilatation. This can be achieved with Bougies or balloon dilators. For tight and fibrotic strictures, bougies dilators are often more reliable than balloon dilators[37].

Detailed explanation-2: -In patients with caustic ingestion, airway monitoring and control is the first priority. When airway compromise is present, a definitive airway must be established. In patients with a stable airway and no clinical or radiological sign of perforation, medical therapy should be initiated.

Detailed explanation-3: -Early endoscopy is recommended because about 30% of patients with caustic ingestion will have no injury to the esophagus and can be discharged promptly. Endoscopy is usually done within 24-48 h after ingestion.

Detailed explanation-4: -Rinse the mouth with a little water or milk to rid it of any caustic that may still be there. Look for symptoms of injury including visible burns in the mouth or the signs and symptoms listed above. More items