A 45-year-old Female drank Sunpole(R) (9.5% hydrochloric acid), an aci
dic toiler cleaner, in a suicide attempt. Notwithstanding intravenous
administration of steroids and bougienage dilation, corrosive changes
progressed. The patient underwent surgery for severe caustic ingestion
injury of the pharynx, larynx, and esophagus. Colon bypass surgery fr
om the left vallecula to the stomach was performed. Excellent results,
both in deglutition and phonation, were obtained. We report on the ca
se and stress several points of importance in dealing with severe caus
tic ingestion injuries.