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<p>Caustic ingestion (CI) in adults represents a potentially life-threatening condition. Diagnosis and management of CI in real life remain challenging. The aim of the survey is to evaluate on a national scale the multidisciplinary management of these patients. 24-item online Survey was sent to the mailing lists and social media of Italian Society of Endoscopic Surgery and New Technologies, Italian Society of Digestive Endoscopy, World Society of Emergency Surgery-Italy Chapter, and Italian Society of Surgical Endoscopy and Digestive Diseases. Overall, 240 subjects answered to the survey, corresponding to 22.1% of the total members of the scientific societies involved. 131 (54.5%) respondents evaluated fewer than ten CI patients per year. The recommendations provided by the WSES and SIED guidelines were followed by 133 (55.2%) and 83 (34.4%) participants, respectively. Emergency surgery was advocated by 180 (77.6%) of the respondents for patients with transmural necrosis or signs of perforation, using minimally invasive surgery in 47% of the cases and considering initial esophagojejunal anastomosis as safe in 33 (14.2%) of the responses. Our study is the first to provide real-life data on how the management of CI varies across Italian physicians, according to regional, institutional, and specialty-related factors. This survey highlights the need for standardized and uniform guidelines.</p>

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Diagnosis and management of caustic ingestion: an interdisciplinary nationwide cross-sectional survey from the Italian society of endoscopic surgery and new technologies (SICE), the Italian society of digestive endoscopy (SIED), the world society of emergency surgery-Italy chapter (WSESit), and the Italian society of surgical endoscopy and digestive diseases (ISSE)

  • 期刊论文

  • 发表日期：

    2025年3月13日

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  • Alessio Giordano,
  • Manuela Mastronardi,
  • Mauro Podda,
  • Luigi Bonavina,
  • Diego Cuccurullo,
  • Gabriele Anania,
  • Carlo Bergamini,
  • Giuseppe Galloro,
  • Cesare Hassan,
  • Maria Caterina Parodi,
  • Ferdinando Agresta,
  • Giulia Montori,
  • Massimo Sartelli,
  • Fausto Catena,
  • Paola Fugazzola,
  • Luca Ansaloni,
  • Emanuele Marciano,
  • Girolamo Geraci,
  • Attilio Maurano,
  • Manuela Avellino,
  • Arianna Massella,
  • Beatrice Orlandini,
  • Paolo Prosperi,
  • Andrea Galli,
  • Marco Giacometti,
  • Filippo Carannante,
  • Luca Ottavianj,
  • Davina Perini,
  • Gianmaria Casoni Pattacini,
  • Chiara Procaccini,
  • Andrea Balla,
  • Irene Sole Zuin,
  • Alessia Scarton,
  • Teresa Perra,
  • Alberto Aiolfi,
  • Alberto Porcu,
  • Maria Sara Santicchia,
  • Andrea Locatelli,
  • Federico Maggi,
  • Luigi Eduardo Conte,
  • Rberta Russo,
  • Marsia Tancredi,
  • Gennaro Mazzarella,
  • Elissavet Anestiadou,
  • Ugo Giustizieri,
  • Maria,
  • Chiara Ranucci,
  • Nicola Cillara,
  • Amedeo Antonelli,
  • Pietro Fransvea,
  • Daniela Daidone,
  • Valentina Sbacco,
  • Omar Ghazouani,
  • Giuseppe Brisinda,
  • Andrea Barberis,
  • Giovanni Cestaro,
  • Fabio Marino Silvia Curcio,
  • Giulia Lauteri,
  • Giuseppe Evola,
  • Flavio Tirelli,
  • Agostino Fernicola,
  • Lorenzo Epis,
  • Gabriella Teresa Capolupo,
  • Francesco Pata,
  • Bruno Nardo,
  • Giuseppe Massimiliano De Luca,
  • Mario Pacilli,
  • Giovanni Merola,
  • Livia Palmieri,
  • Pajtim Emini,
  • Chiara Fantozzi,
  • Laura Fortuna,
  • Andrea Bottari,
  • Alfredo Annicchiarico,
  • Pasquale Cianci,
  • Lorenzo Gozzini,
  • Luca Domenico Bonomo,
  • Francesca Vescio,
  • Cecilia Turolo,
  • Bruno Sensi,
  • Annarita Libia,
  • Gaetano Poillucci,
  • Sandro Giannessi,
  • Jozel Hila,
  • Marco Veltri,
  • Mauro Marzano,
  • Tommaso Guagni,
  • Diletta Corallino,
  • Agostino Falcone,
  • Federica Ferracci,
  • Giuseppe Canonico,
  • Stefano Cantafio,
  • Riccardo Borreca,
  • Linda Gabellini,
  • Marco Barlettai,
  • Giuseppe Palomba,
  • Giacomo Di Filippo,
  • Fausto Rosa,
  • Dario Potkonjak,
  • Jacopo Andreuccetti,
  • Davide Bona,
  • Andrea Pierre Luzzi,
  • Marco Cannistra’,
  • Massimo Calistri,
  • Stefano Amore Bonapasta,
  • David Merlini,
  • Mirko Barone,
  • Simone Manfredelli,
  • Edoardo Forcignanó,
  • Sara Lucchese,
  • Ilenia Merlini,
  • Salomone Di Saverio,
  • Gennaro Martines,
  • Raffaele Pellegrino,
  • Antonietta Gerarda Gravina,
  • Stefano Lafranceschina,
  • Marcello Giuseppe Spampinato,
  • Valentina Bianchi,
  • Andrea Spota,
  • Arcangelo Picciariello,
  • Riccardo Fratarcangeli,
  • Marco Palucci,
  • Roberto Cammarata,
  • Gianmarco Marocchi,
  • Marco Sacco,
  • Rosario Landi,
  • Claudio Sciacca,
  • Maria Chiara Verga,
  • Giacomo Rossi,
  • Leonardo Samperi,
  • Veronica Natali,
  • Cristian Vailati,
  • Flavia Ciranni,
  • Filippo Antonini,
  • Rocco Granata,
  • Sergio Pinto,
  • Luigi Maria Daretti,
  • Martina Musumeci,
  • Laura Montesano,
  • Giovanna Impellizzeri,
  • Valerio Pontecorvi,
  • Francesca Capretti,
  • Daunia Verdi,
  • Michele Campigotto,
  • Mauro Liggi,
  • Simone Segato,
  • Paola Ponzo,
  • Giuseppe Pianese,
  • Lorenzo Anastasio,
  • Michela Di Fonzo,
  • Daniele Simondi,
  • Alessandra Dell’Era,
  • Mario Arrigo,
  • Eugenio Marconato,
  • Annunziata Bonsignore,
  • Benedetta Conti,
  • Francesco Cazzato,
  • Elisa Stasi,
  • Carolina Martelletti,
  • Marco Cedola,
  • Cristina Marfinati Hervoso,
  • Anna Giacomin,
  • Elisabetta Lolli,
  • Enrico Tasini,
  • Carlotta Rastelli,
  • Marta Maino,
  • Pietro Familiari,
  • Alessia Fassari,
  • Gerlando Gibilaro,
  • Debora Berretti,
  • Pietro Spinelli,
  • Alessandro Paolini,
  • Flavia Pigò,
  • Paola Cesaro,
  • Elia Armellini,
  • Enrico Maria Gabrieletto,
  • Federica Miculan,
  • Paola Cognein,
  • Luigi Russo,
  • Andrea Picchetto,
  • Martina Costetti,
  • Anna Cominardi,
  • Fausto Lella,
  • N. L. Harish,
  • Montrone Lucia,
  • Guido Missale,
  • Andrea Masini,
  • Alessandro Bergna,
  • Dario D’Agostino,
  • Francesco Cocomazzi,
  • Federico Passagnoli,
  • Pablo Cortegoso Valdivia,
  • Giulio Argenio,
  • Martina Zambon,
  • Pierfranco Maria Cicerchia,
  • Caterina Baldi,
  • Michela Mangia,
  • Giorgio Ammerata,
  • Maurizio Zizzo,
  • Arnaldo Amato,
  • Vincenzo Occhipinti,
  • Stefano Festa,
  • Cosimo Fascia,
  • Biagio Casagranda,
  • Paolo Pizzini,
  • Irma Valeria Albergati,
  • Daniela Scimeca,
  • Isabella Madaffari,
  • Alessandro Risso,
  • Fabrizio D’Acapito,
  • Immacolata Iannone,
  • Mustafa Yener Uzunoglu,
  • Alessandro Coppola,
  • Omer Yalkin,
  • Mario Arrigo,
  • Nurettin Coşkun,
  • Gabriela Arroyo Murillo,
  • Anna Guariniello,
  • Elvira Adinolfi,
  • Valeria Bolognesi,
  • Walter Elisei,
  • Fabio Cavallo,
  • Francesco Moroni,
  • Giacomo Lo Secco,
  • Filippo Ascari,
  • Federico Festa,
  • Giacinto Falco,
  • Paola Salusso,
  • Antonio Castaldi,
  • Maria Elisa Sciuto,
  • Maria Paola Menna,
  • Francesca Albanesi,
  • Carlo Gazia,
  • Gaetano Gallo,
  • Francesca Liguori,
  • Mariarita Tarallo,
  • Alfonso Amendola,
  • Fabio Marino,
  • Emilio Paolo Emma,
  • Belinda De Simone,
  • Luca Cestino,
  • Pajtim Emini,
  • Simone Castiglioni,
  • Enrico Pinotti,
  • Mauro Montuori,
  • Ilaria Neri,
  • Marianna Capuano,
  • Marta Spalluto,
  • Luigi Gargiulo,
  • Gianfranco Napoli,
  • Carmela Abbatiello

摘要

Caustic ingestion (CI) in adults represents a potentially life-threatening condition. Diagnosis and management of CI in real life remain challenging. The aim of the survey is to evaluate on a national scale the multidisciplinary management of these patients. 24-item online Survey was sent to the mailing lists and social media of Italian Society of Endoscopic Surgery and New Technologies, Italian Society of Digestive Endoscopy, World Society of Emergency Surgery-Italy Chapter, and Italian Society of Surgical Endoscopy and Digestive Diseases. Overall, 240 subjects answered to the survey, corresponding to 22.1% of the total members of the scientific societies involved. 131 (54.5%) respondents evaluated fewer than ten CI patients per year. The recommendations provided by the WSES and SIED guidelines were followed by 133 (55.2%) and 83 (34.4%) participants, respectively. Emergency surgery was advocated by 180 (77.6%) of the respondents for patients with transmural necrosis or signs of perforation, using minimally invasive surgery in 47% of the cases and considering initial esophagojejunal anastomosis as safe in 33 (14.2%) of the responses. Our study is the first to provide real-life data on how the management of CI varies across Italian physicians, according to regional, institutional, and specialty-related factors. This survey highlights the need for standardized and uniform guidelines.