Zargar classification of caustic injury
Gastroenterology and hepatology
Also known as: Zargar-Klassifikation (Verätzung) · Zargar sınıflaması (koroziv yanık) · Zargar classification of caustic (corrosive) injury
What it is for
Endoscopic grading of mucosal injury of the oesophagus and stomach after ingestion of caustic (acid or alkaline) substances.
Classification
| Category | Description |
|---|---|
| Grade 0 | normal mucosa |
| Grade 1 | oedema and hyperaemia of the mucosa |
| Grade 2a | friability, haemorrhages, erosions, blisters, whitish membranes or exudates, superficial ulcers |
| Grade 2b | grade 2a findings plus deep discrete or circumferential ulceration |
| Grade 3a | small scattered areas of multiple ulceration and necrosis (brown-black or greyish discoloration) |
| Grade 3b | extensive necrosis |
| Grade 4 | perforation (added in later versions) |
Source
The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns
Gastrointest Endosc 1991;37:165–169 (Zargar SA et al.)
DOI: 10.1016/s0016-5107(91)70678-0
PMID: 2032601
- Edition
- Zargar modified endoscopic classification 1991 (grade 4 perforation added in later use)
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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