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Canadian Journal of Gastroenterology
Volume 21, Issue 11, Pages 757-760
Brief Communication

Nonsurgical Management of Severe Esophageal and Gastric Injury Following Alkali Ingestion

Ramy D Abaskharoun, William T Depew, and Lawrence C Hookey

Gastrointestinal Diseases Research Unit, Division of Gastroenterology, Hotel Dieu Hospital, Queen’s University, Kingston, Ontario, Canada

Received 18 June 2006; Accepted 20 November 2006

Copyright © 2007 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The ingestion of caustic substances may result in significant gastrointestinal injury. Endoscopy can play a major role in the initial evaluation and subsequent therapy of such injuries. The case of a 50-year-old man who ingested an alkaline floor stripper is described, including the endoscopic management of esophageal and pyloric strictures, with good functional results. The role of endoscopy, steroids and acid suppression in the management of such patients is also explored.