摘要
In the developed and developing countries, corrosive injury to the gastrointestinal system as a consequence of either accidental ingestion or as a result of self-harm has become a less common phenomenon compared to decades ago. This could partly be attributed to the tighter legislation imposed by the government in these countries on detergents and other corrosive products and general public awareness. Most busy upper gastrointestinal surgical units in these countries, especially in the developed countries will only encounter a small number of cases per year. Up to date knowledge on the best management approach is lacking. In this article, we present our experience of two contrasting cases of corrosive injury to the upper gastrointestinal tract in our thoracic unit in the last 2 years and an up-to-date Medline literature search has been carried out to highlight the areas of controversies in the management of corrosive injuries of the upper gastrointestinal tract. We concluded that the main principle in managing such patients requires a good understanding of the pathophysiology of corrosive injury in order to plan both acute and future management. Each patient must be evaluated individually as the clinical picture varies widely. Signs and symptoms alone are an unreliable guide to injury.
在里面发展并且发展中的国家，对是的胃肠的系统的腐蚀剂损害意外摄取或由于自我伤害的后果以前与十年相比成为了不太普通的现象。这能部分被归因于政府在 detergents 和另外的腐蚀剂产品和一般公共了解上在这些国家强加的更紧密的立法。最在这些国家忙碌上面的胃肠的外科的单位，特别在发达国家将仅仅每年遇到盒子的一个小数字。最好的管理途径上的最新的知识正在缺乏。在这篇文章，我们在场我们对在我们最后 2 年和新 Medline 文学搜索里的胸的单位的上面的胃肠道的腐蚀剂损害的二个形成对照的盒子的经验被执行了在上面的胃肠道的腐蚀剂损害的管理加亮争吵的区域。我们断定在管理如此的病人的主要原则要求腐蚀剂损害的病理生理学的好理解以便计划尖锐并且未来管理。当临床的图画广泛地变化，每个病人必须个别地被评估。症状独自是损害的一个不可靠的指南。
