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Caustic Esophagitis
Atif Zaheer, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Synonyms

          • Corrosive esophagitis
        • Definitions

          • Esophageal injury due to ingestion of strong alkali or acid

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                Selected References

                                1. Bruzzi M et al: Emergency computed tomography predicts caustic esophageal stricture formation. Ann Surg. 270(1):109-14, 2019
                                2. Chirica M et al: Caustic ingestion. Lancet. 389(10083):2041-52, 2017
                                3. Youn BJ et al: Balloon dilatation for corrosive esophageal strictures in children: radiologic and clinical outcomes. Korean J Radiol. 11(2):203-10, 2010
                                4. Doo EY et al: Oesophageal strictures caused by the ingestion of corrosive agents: effectiveness of balloon dilatation in children. Clin Radiol. 64(3):265-71, 2009
                                5. Abaskharoun RD et al: Nonsurgical management of severe esophageal and gastric injury following alkali ingestion. Can J Gastroenterol. 21(11):757-60, 2007
                                6. Berkovich GY et al: CT findings in patients with esophagitis. AJR Am J Roentgenol. 175(5):1431-4, 2000
                                7. Levine MS: Radiology of esophagitis: a pattern approach. Radiology. 179(1):1-7, 1991
                                8. Levine MS et al: Update on esophageal radiology. AJR Am J Roentgenol. 155(5):933-41, 1990
                                9. Goldman LP et al: Corrosive substance ingestion: a review. Am J Gastroenterol. 79(2):85-90, 1984
                                10. Creteur V et al: Drug-induced esophagitis detected by double-contrast radiography. Radiology. 147(2):365-8, 1983
                                11. Graziani L et al: Reflux esophagitis: radiologic-endoscopic correlation in 39 symptomatic cases. Gastrointest Radiol. 8(1):1-6, 1983
                                Related Anatomy
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                                Related Differential Diagnoses
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                                References
                                Tables

                                Tables

                                KEY FACTS

                                • Terminology

                                  • Imaging

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Synonyms

                                        • Corrosive esophagitis
                                      • Definitions

                                        • Esophageal injury due to ingestion of strong alkali or acid

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • CT Findings

                                            • Imaging Recommendations

                                              DIFFERENTIAL DIAGNOSIS

                                                PATHOLOGY

                                                • General Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Demographics

                                                      • Natural History & Prognosis

                                                        • Treatment

                                                          DIAGNOSTIC CHECKLIST

                                                          • Consider

                                                            • Image Interpretation Pearls

                                                              Selected References

                                                              1. Bruzzi M et al: Emergency computed tomography predicts caustic esophageal stricture formation. Ann Surg. 270(1):109-14, 2019
                                                              2. Chirica M et al: Caustic ingestion. Lancet. 389(10083):2041-52, 2017
                                                              3. Youn BJ et al: Balloon dilatation for corrosive esophageal strictures in children: radiologic and clinical outcomes. Korean J Radiol. 11(2):203-10, 2010
                                                              4. Doo EY et al: Oesophageal strictures caused by the ingestion of corrosive agents: effectiveness of balloon dilatation in children. Clin Radiol. 64(3):265-71, 2009
                                                              5. Abaskharoun RD et al: Nonsurgical management of severe esophageal and gastric injury following alkali ingestion. Can J Gastroenterol. 21(11):757-60, 2007
                                                              6. Berkovich GY et al: CT findings in patients with esophagitis. AJR Am J Roentgenol. 175(5):1431-4, 2000
                                                              7. Levine MS: Radiology of esophagitis: a pattern approach. Radiology. 179(1):1-7, 1991
                                                              8. Levine MS et al: Update on esophageal radiology. AJR Am J Roentgenol. 155(5):933-41, 1990
                                                              9. Goldman LP et al: Corrosive substance ingestion: a review. Am J Gastroenterol. 79(2):85-90, 1984
                                                              10. Creteur V et al: Drug-induced esophagitis detected by double-contrast radiography. Radiology. 147(2):365-8, 1983
                                                              11. Graziani L et al: Reflux esophagitis: radiologic-endoscopic correlation in 39 symptomatic cases. Gastrointest Radiol. 8(1):1-6, 1983