Esophagus Burns/Perforation

Question 1

What is Grade 1 in endoscopic grading?

Answer 1

Hyperaemia and edema

Grade 1 indicates initial inflammatory changes in the mucosa.

Question 2

What findings are associated with Grade 2 in endoscopic grading caustic perforation

Answer 2

Limited hemorrhage, superficial ulceration, and pseudomembrane formation

Grade 2 shows more severe mucosal damage.

Question 3

What are the characteristics of Grade 3 in endoscopic grading?

Answer 3

Extensive necrosis, eschar formation, perforation

Grade 3 represents critical damage to the esophageal mucosa.

Question 4

What is the management protocol for Grade 1 findings?

Answer 4

Observation for 24-48 hours

This approach allows for monitoring without immediate intervention.

Question 5

What management is required for Grade 2 with viable mucosa?
caustic perforation

Answer 5

Emergency laparotomy - esophageal stenting + jejunostomy

This treatment aims to restore function and prevent further damage.

Question 6

What is the management for Grade 2 with non-viable mucosa?

Answer 6

Emergency laparotomy + esophagogastric resection + jejunostomy

This approach is necessary to remove necrotic tissue and restore gastrointestinal continuity.

Question 7

Fill in the blank: Grade 1 findings include _______.

Answer 7

Hyperaemia and edema

Question 8

True or False: Grade 3 findings involve limited hemorrhage.

Answer 8

False

Grade 3 findings are characterized by extensive necrosis, not limited hemorrhage.