Total Esophagogastric Replacement after Ingestion of Household Ammonia

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Abstract
THE ingestion of caustics, either suicidal or accidental, is a worldwide problem and by no means rare. Household-ammonia water, in contrast to lye, is a less commonly ingested agent, and severe complications are rare. Two cases of antral stricture have been reported by Norton.1 In addition he discussed 3 cases with complications that followed ingestion of ammonia. In the case reported below, swallowing of ammonia was followed by gastric necrosis, esophageal perforation and duodenal and jejunal strictures, with survival after three lifesaving operations. As far as we know no other case of gastric perforation after ingestion of alkali with survival . . .

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