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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 4(1); 1961 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1961;4(1): 7-11.
Initial Histopathological Changes of the Liver, Spleen, Esophagus and Stomach in the Acute Stages of the Corrosive Esophagitis due to Acetic Acid
Jin Young Kim, MD, and Sung Sup Sim, MD
Department of Otolaryngology, College of Medicine, Seoul National University, Seoul, Korea
醋酸에 依한 食道腐蝕症에 있어서 肝, 脾, 食道, 胃의 急性初期의 病理組織學的 變化
金鎭永 · 沈聖燮 (指導 : 金弘基 副敎授)
서울大學校 醫科大學 耳鼻咽喉科學敎室
ABSTRACT

The experimental caustic effects on the rabbit's esophagus are produced with 3.0 cc of 12.0% acetic solution. The macroscopic and histopathological findings of esophagus and stomach in acute early stages have been carefully followed. The findings in the esophagus and stomach begin from the first day after the ingestion of acetic acid. These changes are characterized by congestion and dilatation of blood vesseles of the mucosal and muscle layer accompained by necrobyosis, necrosis and karyolysis. The changes become progressively severe and reach its maximum at te end of the 5th day. The regenerative activity including fibrous proliferation begin from the 7th day. The findings in the liver and spleen begin from the first day after the ingestion of acetic acid. These changes are characterized congestion and dilatation of blood vesseles and destruction of parenchyme tissue cell. The possibility of direct inflowing of the caustic solution into the blood streem cannot be excluded. However, the cause of tissue change of liver and spleen has been considered as the absorption of substances from tissue destruction in the esophagus, stomach and intestine.

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