Optimizing triage in acute caustic ingestion: Choosing between endoscopy and computed tomography

doi:10.4253/wjge.v18.i3.114327

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Mar 16, 2026 (publication date) through Mar 17, 2026

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World Journal of Gastrointestinal Endoscopy

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1948-5190

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Gastrointest Endosc. Mar 16, 2026; 18(3): 114327
Published online Mar 16, 2026. doi: 10.4253/wjge.v18.i3.114327

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Figure 1 Zargar grade of injury on endoscopic evaluation after caustic ingestion.

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Figure 2 Computed topography in hemodynamically unstable condition for predicting the severe injury. A: Non-enhancing thickened gastric wall on contrast-enhanced computed tomography in a patient with caustic ingestion; B: Surgical exploration revealed gastric fundal necrosis with impending perforation (white arrows).

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Figure 3 Grade of injuries on contrast-enhanced computed tomography after caustic ingestion. A and B: Grade 1 normal appearing gastrointestinal tract (orange arrows); C and D: Grade 2 Wall edema with increased postcontrast wall enhancement (orange arrows); E and F: Grade 3 transmural necrosis identified by absence of postcontrast wall enhancement (orange arrows).

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Figure 4 Management protocol of acute caustic injury with complementary role of computed tomography in injury assessment. CECT: Contrast-enhanced computed tomography; CT: Computed tomography; ICU: Intensive care unit.

Citation: Singh AK, Birda CL, Kochhar R. Optimizing triage in acute caustic ingestion: Choosing between endoscopy and computed tomography. World J Gastrointest Endosc 2026; 18(3): 114327
URL: https://www.wjgnet.com/1948-5190/full/v18/i3/114327.htm
DOI: https://dx.doi.org/10.4253/wjge.v18.i3.114327