Esophageal and Gastric Stricture Formation Following Corrosive Ingestion in Our Local Population: Esophageal and Gastric Stricture Formation

Asfand-e-Yar  Khan; Sadaf  Abdullah; . Kamran; Zubair  Ejaz; Muhammad  Sohail; Abubakkar  Alam; Inam  Ullah; Syeda Rubina  Gillani

doi:10.54393/pjhs.v4i03.635

Authors

Asfand-e-Yar Khan Primary Health Services, Nowshera, Pakistan
Sadaf Abdullah MTI Lady Reading Hospital, Peshawar, Pakistan
. Kamran Primary Health Services, Charsadda, Pakistan
Zubair Ejaz Primary Health Services, Nowshera, Pakistan
Muhammad Sohail Primary Health Services, Mardan, Pakistan
Abubakkar Alam Alkhidmat Hospital, Peshawar, Pakistan
Inam Ullah Primary Health Services, Mardan, Pakistan
Syeda Rubina Gillani Primary Health Services, Nowshera, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i03.635

Keywords:

Esophageal and Gastric Stricture Formation

Abstract

Corrosive substances are defined as chemicals which cause injury upon coming in contact with living tissues such as the skin, gastrointestinal tract, respiratory tract and eyes. These include acids, alkalis, oxidizing agents, hydrocarbons among others. Objective: To determine the frequency and difference in the frequency of upper gastrointestinal stricture formation following corrosive ingestion in the gastroenterology unit of Lady Reading Hospital, Peshawar. Methods: This cross- sectional study was held in the Gastroenterology unit of Lady Reading Hospital, Peshawar from 16^th July, 2019 to 16^th Jan, 2019. Detailed history was taken from the patient and the container of the chemical ingested was examined to find out the duration since ingestion, amount of chemical ingested, and the type of chemical ingested (acid or alkali). Results: Mean and SD for age was 35 ± 5.55. Mean and SDs for duration since ingestion. Mean and SDs for amount of corrosive ingestion was 24 ± 1.54. 50 (34.48%) patients were recorded in 10-25 years’ age group and 95 (65.51%) patients were recorded in 26-40 years’ age group. 97 (66.89%) patients were male, and 48 (33.10%) patients were female. 41 (28.27%) patients had acidic corrosion and 104 (71.72%) patients had alkali corrosion. As per frequencies and percentages for stricture formation, 57 (39.31%) patients had stricture formation. Conclusions: Although the mortality and morbidity of corrosive gastric injuries is high, the key to improve the survival is early identification of perforation, maintenance of nutrition and control of sepsis.

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