Chang Jiyeon, Han Sang Eun, Paik Seung Sam, Kim Yong Joo
Department of Pediatrics, Hanyang University, College of Medicine, Seoul, Korea.
Department of Pathology, Hanyang University, College of Medicine, Seoul, Korea.
Clin Endosc. 2020 May;53(3):366-369. doi: 10.5946/ce.2019.066. Epub 2019 Aug 13.
Although gastroesophageal damage is commonly induced by accidental drinking of a strong acid or alkali, damage due to the consumption of a vinegar beverage is not well known. We report a case of corrosive esophageal ulcer found in an adolescent consuming a vinegar drink daily. A 15-year-old male visited the emergency room presenting with hematemesis and severe epigastric pain. Multiple longitudinal ulcers, concurrent mucosal hemorrhage, and denuded mucosa were noted in the whole of the esophagus via an endoscopic examination. He had been drinking a vinegar beverage daily without sufficient dilution. The patient was treated with corticosteroid, antibiotic therapy, and mucosa protecting alginate medication and was asked to fast for a week. The follow-up endoscopy showed improvement of the esophageal injuries. Overall, continuous consumption of a vinegar beverage can result in acidic burns and destruction of the surface of the upper gastrointestinal tract. Therefore, vinegar beverages should be considered as corrosive agents.
虽然胃食管损伤通常是由意外饮用强酸或强碱引起的，但因饮用醋饮料导致的损伤却鲜为人知。我们报告一例在每日饮用醋饮料的青少年中发现的腐蚀性食管溃疡病例。一名15岁男性因呕血和严重上腹痛前往急诊室就诊。通过内镜检查发现整个食管有多处纵行溃疡、并发黏膜出血和黏膜剥脱。他一直在每日饮用醋饮料且未充分稀释。患者接受了皮质类固醇、抗生素治疗以及黏膜保护藻酸盐药物治疗，并被要求禁食一周。随访内镜检查显示食管损伤有所改善。总体而言，持续饮用醋饮料可导致酸性灼伤并破坏上消化道表面。因此，醋饮料应被视为腐蚀性物质。
