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HOME > J Korean Soc Clin Toxicol > Volume 12(2); 2014 > Article
Comparing the Possible Complications of Endoscopy Dependent on Time in Caustic Poisoned Patients
Jin Geul Choi, Oh Hyun Kim, Hyun Kim, Dong Keon Lee, Jin Go, Tae Hoon Kim, Kyoung Chul Cha, Kang Hyun Lee, Sung Oh Hwang, Yong Sung Cha
Journal of The Korean Society of Clinical Toxicology 2014;12(2):70-76
DOI: https://doi.org/
Published online: December 31, 2014
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1Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
10Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
2Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
3Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
4Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
5Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
6Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
7Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
8Department of Emergency Medicine, Wonju College of Medicine, Yonsei University
9Department of Emergency Medicine, Wonju College of Medicine, Yonsei University

Purpose: Endoscopy has been recommended as a primary procedure for determining the extent of damage and prognosis in patients with caustic ingestions. Endoscopy within the first 24 hours has been suggested, however, such immediate endoscopy is not always possible. Therefore, we wanted to determine complications and possible delayed sequelae after the endoscopy performed dependent on time, including less than 24 hours and more than 24 hours, after ingestion of relatively high toxic caustic agents. Methods: From January 2005 to May 2013, 105 consecutive patients were diagnosed with caustic poisoning in the emergency department of the Wonju Severance Christian Hospital. Out of 95 patients who underwent endoscopy, while excluding 49 patients who ingested sodium hypochlorite and 15 patients due to insufficient data, 41 patients were ultimately included. We compared general characteristics, complications related to endoscopy, late sequelae, total admission length, and mortality between two groups. Results: Twenty eight patients (68.3%) were diagnosed with acid ingestion. Median endoscopy time was 17.8 (IQR 9.7-36.9) hours and performed in 16 patients (39%) after 24 hours. There were no complications, such as perforation and bleeding in either endoscopy within 24 hours group or endoscopy after 24 hours group. In addition, no difference in ingested materials, endoscopy grade, or late sequelae was observed between endoscopy within 24 hours group and endoscopy after 24 hours group. Conclusion: No difference in complications and late sequelae was observed between endoscopy within 24 hours group and endoscopy after 24 hours group when endoscopy was performed based on a clinician's assessment.

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JKSCT : Journal of The Korean Society of Clinical Toxicology