Describe management of caustic ingestion if, on esophagoscopy, you see full-thickness burn, black coagulum, pleural and mediastinal involvement.
- Third degree burn, high mortality
- May require esophagectomy, gastrectomy, ex lap.
- May consider NGT, silastic stent, or GT
- Long term broad spectrum abx
- Steroids contraindicated
- Esophagram at 1 month, then every 3 months for 1 year