Corrosive injury-induced gastric outlet obstruction: A changing spectrum of agents and treatment

Tekant, Gonca; Eroğlu, Egemen; Erdoğan, Ergun; Yesildag, Ebru; Emir, Haluk; Büyükünal, Cenk; Yeker, Daver

doi:10.1053/jpsu.2001.24725

Cited by 63 publications

(55 citation statements)

References 15 publications

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“…Gastric obstruction has been generally treated by resection by hemigastrectomy with gastrojejunostomy [19,20]. Endoscopic balloon dilatation may be tried for pyloric stenosis [20]. Esophageal strictures may occur at a relatively later period.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation and management of caustic injury in the upper gastrointestinal tract in 95 adult patients in an urban medical center

et al. 2007

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Section: Discussionmentioning

confidence: 99%

Clinical evaluation and management of caustic injury in the upper gastrointestinal tract in 95 adult patients in an urban medical center

et al. 2007

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“…It is well known that gastric injury and PS usually occur in cases of acidic ingestion; it has been reported that the incidence of PS secondary to alkaline ingestion may differ [1,[9][10][11]. The caustic substances ingested by almost all of the patients in the present study were acidic except one.…”

Section: Discussionmentioning

confidence: 44%

“…The literature contains only a few studies and case reports on endoscopic balloon dilation in children with delayed gastric emptying or PS [2,18,[21][22][23]. Tekant et al [1] performed balloon dilation in four patients with PS due to caustic ingestion and reported a 25% success rate. They mentioned that the failed procedures were related to the severity of PS, which precluded catheterization with a guidewire [1].…”

Section: Discussionmentioning

confidence: 99%

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

et al. 2012

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“…Because ingested acids may pass rapidly through the esophagus and leave very little time for contact, and the esophagus has more resistant squamous epithelium, the stenosis of esophagus may be less significant. On the other hand, acids may be pooled in the antrum after they pass down to the stomach and injure the antrum since the antrum has more vulnerable columnar epithelia [24]. In our case, the 5-year-old boy had GOO without any signs of esophageal injury.…”

Section: Discussionmentioning

confidence: 63%

“…Stenosis of the esophagus and pylorus is the main complication of corrosive injuries [24,25]. Because ingested acids may pass rapidly through the esophagus and leave very little time for contact, and the esophagus has more resistant squamous epithelium, the stenosis of esophagus may be less significant.…”

Section: Discussionmentioning

confidence: 99%

Rare causes of gastric outlet obstruction in children

Feng

et al. 2005

Ped Surgery Int

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Gastric outlet obstruction (GOO) presenting beyond the newborn period is a relatively rare condition, when infantile hypertrophic pyloric stenosis (IHPS) is excluded. This report describes the clinical features, evaluation and management of 18 patients with GOO which was not caused by IHPS. The sex, age, and main presenting features were recorded on admission. Hemoglobin estimation, serum chemistry and blood gas analysis were also assessed in these patients. The diagnosis was confirmed with gastrointestinal barium, B ultrasound, gastroscopy, or at surgery. Some of them underwent gastroscopy with biopsy sampling for rapid urease test or histologic examination with Giemsa stains for Helicobacter pylori. Thirteen patients had peptic ulcer disease, of which six were successfully treated with medications. While the other seven needed operative management which included Heineke-Mikulicz pyloroplasty, gastroduodenostomy or gastrojejunostomy, respectively. All the patients who had Heineke-Mikulicz pyloroplasty or gastrojejunostomy developed bile reflux gastritis that could be alleviated with omeprazol. None of the patients developed dumping syndrome, failing to thrive, or anemia. Three children with antral diaphragm recovered without any complications by diaphragm excision with Heineke-Mikulicz pyloroplasty. The pylorus was compressed by fibrotic band in one 30-month boy, and he recovered uneventfully with Heineke-Mikulicz pyloroplasty during 10-year follow-up. Gastric outlet obstruction secondary to ingestion of sulfuric acid was noted in one patient, and he was successfully treated with gastroduodenostomy. Our data suggests that the satisfactory results could be expected in children with GOO with different therapeutic modalities based on the specific cause and degree of obstruction.

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Corrosive injury-induced gastric outlet obstruction: A changing spectrum of agents and treatment

Cited by 63 publications

References 15 publications

Clinical evaluation and management of caustic injury in the upper gastrointestinal tract in 95 adult patients in an urban medical center

Clinical evaluation and management of caustic injury in the upper gastrointestinal tract in 95 adult patients in an urban medical center

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

Rare causes of gastric outlet obstruction in children

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