Caustic Esophageal Injury

Abstract Caustic injuries most commonly present as accidental ingestions in children or intentional ingestions in adolescents or adults. Pathophysiologic models are described for both alkali and acidic injuries. However, the clinical management is similar for all substances. Initial assessment involves clinical assessment, laboratory studies, endoscopic examination, and possibly imaging studies to grade the severity of the injury and ultimately guide management. Minor injuries are typically treated with a trial of oral intake, moderate injuries require close monitoring in a hospital setting, and severe injuries typically require surgical intervention. Long-term complications include recurrent stricturing and development of malignancy.