June 1975

Fiberoptic Endoscopy in Treatment of Corrosive Injury of the Stomach

Author Affiliations

From the departments of surgery, University of Iowa Hospitals and Clinics and the Veterans Administration Hospital, Iowa City.

Arch Surg. 1975;110(6):725-728. doi:10.1001/archsurg.1975.01360120043008

The observations of natural history of corrosive gastritis made by endoscopy are correlated with operative findings in three cases. The endoscopic criterion for diagnosis of full-thickness necrosis appears to be mucosal gangrene. Repeated endoscopy with modern instruments is safe and of critical importance in the management of these lesions. Visualization of the extent of gastric and duodenal involvement should be attempted as soon as the condition in the esophagus permits. Detection of full-thickness necrosis may provide a rational basis of selection of patients for emergency resection.