Bruzzi M, et al. - Researchers sought to compare emergency computed tomography (CT) with endoscopy regarding their accuracy in predicting risks of esophageal stricture in 152 patients (56 males, median age 45) who underwent esophageal preservation after caustic ingestion. A CT classification of esophageal caustic injuries was described: Grade I show normal esophagus; Grade IIa display internal enhancement of the esophageal mucosa and enhancement of the outer wall conferring a “target” aspect; Grade IIb present as a fine rim of external esophageal wall enhancement. The CT and endoscopic (Zargar) classifications were compared in predicting esophageal stricture. Esophageal strictures developed in 56 (37%) patients. For grade I, IIa, and IIb CT injuries, esophageal stricture risk was 0%, 17%, and 83%, respectively, and for endoscopic grade 1, 2a, 2b, and 3a and 3b injuries, esophageal stricture risk was 0, 0, 28, 50, and 76%, respectively. Outcomes suggest the higher performance of emergency CT vs endoscopy in predicting esophageal stricture formation after caustic ingestion. Emergency endoscopy evaluation was not identified as indispensable after caustic ingestion.