[toxvtc] Fellow Rounds

[Sarah Mahonski]

According to the practice guideline I found (attached)
Screening should start 10-20 years after caustic ingestion and then should occur every 3-4 years

Caustic injury Patients who have sustained a caustic injury of the esophagus are at increased risk of the development of esophageal cancer compared with the general population. A history of a caustic injury is evident in 1% to 4% of all esophageal cancers,86-88 but no histologic predominance (ESC vs EAC) has been reported. Most of these patients have ingested lye, although sporadic case reports have demonstrated the development of esophageal carcinoma in patients who have inThe role of endoscopy in Barrett’s esophagus and other premalignant conditions of the esophagus https://urldefense.com/v3/__http://www.giejournal.org__;!!GobTDDpD7A!NOFyN92G3ODHiErMo7kZ9bnFQwwsXINjI7CcR1zCr_8E-Y9qtFLn6ZTizIhxjLHyXadCf9NmtA3NOy52qTuY6FuP3xA$  Volume 76, No. 6 : 2012 GASTROINTESTINAL ENDOSCOPY 1091 gested acidic substances.88 The time period between the initial insult and the development of esophageal carcinoma can range from 10 to 71 years.77,88 It is currently recommended that screening for esophageal carcinoma should begin approximately 10 to 20 years after the insult, and previous guidelines suggested a 2- to 3-year interval for surveillance, although this has not been studied in a prospective manner.63,89 The cost-effectiveness of screening for esophageal cancer in patients with a history of a caustic injury has not been studied. RECOMMENDATIONS
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Subject: [toxvtc] Fellow Rounds

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Matthew Kolbeck, MD

Medical Toxicology Fellow

SUNY Upstate Medical University

kolbeckm at upstate.edu<mailto:kolbeckm at upstate.edu>
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