Corrosive Poisoning Gastric Outlet Obstruction Treated by Early Definitive Surgery

Ray, Dipankar; Adak, Arnab

doi:10.1007/s12262-019-01989-y

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Patients experience pain, vomiting, rapid loss of weight and malnutrition. Almost every patient needs operation [ 4 ]. The extent of damage in the oesophagus and stomach depends on the agent, amount ingested and duration of contact.…”

Section: Discussionmentioning

confidence: 99%

“…Hwang et al . [ 7 ] and Ray and Adak [ 4 ] compared early definitive surgery within 1–4 months after injury with delayed surgery and concluded that early definitive treatment can give a better quality of life to the patients. According to literature surgical options for gastric stricture due to corrosive ingestion can be classified to three categories: (i) resection in the form of Billroth I or II gastrectomy, which is reported in many series [ 5 , 8 , 9 ]; (ii) bypass the gastric stricture in the form of gastrojejunostomy either loop or Roux-en-Y [ 8–10 ]; (iii) strictureplasty for short-segment strictures, which is a simple operation and can be done early in the majority of cases [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

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Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery—case report

Almalki

Yaseen

Althobaiti

2021

Journal of Surgical Case Reports

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Chemical ingestions can cause acute injury to the oesophagus, stomach, pylorus, duodenum and sometimes other organs after ingestion of corrosives, but it may be as late as 1 year after ingestion. A 30-year-old male patient presented to the emergency department with sudden epigastric abdominal pain after flash material ingestion. Computed tomography of abdomen showed signs of small bowel obstruction associated with segmental small bowel ischaemic changes. Postoperatively, patient developed an intolerance to oral intake with upper gastrointestinal scope showing sever stricture at the distal gastric lumen and pylorus. The patient was taken to the operation where gastrojejunostomy and brown procedure was done. Corrosive gastric injury treatment depends on the degree of gastric involvement, related oesophageal strictures and the patient’s general health. Early surgery offers very satisfactory and physiological results, whereas avoiding gastric resection or bypass provides very satisfactory and physiological outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery—case report

Almalki

Yaseen

Althobaiti

2021

Journal of Surgical Case Reports

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Jodhpur disease complicated by postoperative intussusception in St. Mary's Hospital Lacor

Komakech

Eyul

Birungi

et al. 2020

Journal of Pediatric Surgery Case Reports

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Surgical Management of Post-Corrosive Gastric Outlet Obstruction: Outcome Assessment in Adults and Pediatric Patients in Resource-Limited Settings

Shuwail,

Al-Amry,

Obadiel

et al. 2024

Preprint

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Purpose:To evaluate the outcomes of surgical treatment in adult and pediatric patients with postcorrosive gastric outlet obstruction (GOO) in Yemen. Patients and Methods: A prospective observational study was conducted at the Al-Thawra Modern General Hospital in Sana'a, Yemen, from January 1, 2019, to January 31, 2023. The study included 77 patients, including both adults and children, who were admitted for surgical treatment of postcorrosive GOO. Data was collected from medical records, patient interviews, and follow-up visits. Results: Among the 77 patients, 77% (n=59) were pediatric patients and 23% (n=18) were adults. The mean age of the cohort was 10.6 years, with an average age of 4.12 years for pediatric patients and 30.8 years for adults. Accidental ingestion of acidic substances was the primary cause of postcorrosive GOO (97% of cases). Universal symptoms at presentation included vomiting, early satiety, and weight loss. Definitive surgery was performed in one stage in 95% of patients, with Mikulicz pyloroplasty being the most common procedure (82%) in pediatric cases, whereas gastrojejunostomy was mainly used in adults (67%). Postoperative complications occurred in 22% of patients, with vomiting, wound infection, and aspiration pneumonia being the most common. Anastomotic restricture occurred in two pediatric patients who required reoperation. The overall mortality rate in one pediatric patient was 1.3%. Improvement in GOO symptoms were observed in 96% of patients. Pediatric patients had a longer median hospital stay (6.5 days) than adult patients (6 days). Conclusion: Corrosive injuries, particularly in the pediatric population, are a significant issue in Yemen due to the unsafe storage of sulfuric acid. Early surgical intervention within 4 weeks after ingestion is recommended to prevent weight loss and prolong hospitalization. Further research and interventions are needed to prevent such injuries, improve public awareness, and regulate the sale and storage of corrosive substances.

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Corrosive Poisoning Gastric Outlet Obstruction Treated by Early Definitive Surgery

Cited by 3 publications

References 12 publications

Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery—case report

Suicidal acid ingestion leading to gastric outlet obstruction treated by early definitive surgery—case report

Jodhpur disease complicated by postoperative intussusception in St. Mary's Hospital Lacor

Surgical Management of Post-Corrosive Gastric Outlet Obstruction: Outcome Assessment in Adults and Pediatric Patients in Resource-Limited Settings

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