Pediatric gastric outlet obstruction following corrosive ingestion

Özokutan, Bülent Hayrı; Ceylan, Hasan Hüseyin; Ertaşkın, İdris; Yapici, Sefa

doi:10.1007/s00383-010-2613-6

Cited by 29 publications

(33 citation statements)

References 16 publications

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“…Pyloric obstruction can develop after gastric lesions, especially due to the ingestion of acidic agents after 3-7 weeks (8,10,24,25). In our series, one of the patients who had a history of acidic agent (thinner) ingestion developed a gastric outlet stricture.…”

Section: Discussionmentioning

confidence: 99%

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Gastrointestinal system lesions in children due to the ingestion of alkali andacid corrosive substances

Demirören¹,

Kocamaz²,

Doğan³

2015

Turk J Med Sci

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The ingestion of corrosive substances among children mostly occurs accidentally. Most of these corrosive agents are household cleaners, and the esophagus is the most damaged site of the gastrointestinal system. Perforation and death are potential serious complications in the acute period, while stricture and cancer can occur over chronic periods of time. Endoscopic inspection in the early hours after ingestion is very important for the evaluation of the lesions to allow the planning of the appropriate treatment and follow-up care of these patients (1-3).In this study, we investigated children who were admitted to our clinic due to corrosive substance ingestion or suspected ingestion and who subsequently underwent an upper gastrointestinal endoscopy. The aim of this study was to examine esophageal and gastric lesions in children due to the ingestion of alkaline and acidic corrosive substances and to emphasize all relevant complications. Materials and methodsOne hundred and three children who were admitted to our pediatric gastroenterology unit during a 3-year period complaining of corrosive substance ingestion and who subsequently received upper gastrointestinal endoscopies were enrolled in this study. Clinical and endoscopic findings, treatment regimes, and long-term complications were retrospectively evaluated.The endoscopic procedure was first performed with a 5-mm diameter flexible endoscopy device (Olympus Evis Lucera CLV-260SL) 12-24 h after the ingestion of the corrosive substance in the patients admitted to our clinic. Before the procedure, 0.1-0.4 mg/kg intravenous midazolam was administered to sedate the patients.Background/aim: To examine esophageal and gastric lesions in children due to the ingestion of alkali and acid corrosive substances and to emphasize all related complications. Materials and methods:The reports of 103 children who ingested or were suspected to have ingested corrosive substances and who then underwent upper gastrointestinal endoscopic inspections were evaluated retrospectively.Results: Of the patients, the mean age was 41 ± 3.6 months, and 57.3% were male. Vomiting was the most common symptom (44.7%). Eighteen different commercial products were defined as corrosive substances: 59.2% of them were alkali, 39.8% were acids, and 1% had a neutral pH. These corrosive agents most frequently contained sodium hydroxide, followed by hydrochloric acid, sodium hypochlorite, and sulfuric acid. Endoscopic inspections were abnormal in 68% of the cases. Esophageal lesions were observed in 56.3% of the patients, while gastric lesions were observed in 35%. During the follow-up period, esophageal strictures developed in 4.9% of patients, while gastric outlet obstructions developed in 1%. Conclusion:Of the patients, the mean age was 41 ± 3.6 months, and 57.3% were male. Vomiting was the most common symptom (44.7%). Eighteen different commercial products were defined as corrosive substances: 59.2% of them were alkali, 39.8% were acids, and 1% had a neutral pH. These corrosive agents most frequently con...

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Section: Discussionmentioning

confidence: 99%

“…In our series, one of the patients who had a history of acidic agent (thinner) ingestion developed a gastric outlet stricture. Isolated gastric strictures are relatively rare and arise essentially due to acid ingestion (24,26). The reported rate of esophageal stricture development is 9%-18% (8).…”

Section: Discussionmentioning

confidence: 99%

Gastrointestinal system lesions in children due to the ingestion of alkali andacid corrosive substances

Demirören¹,

Kocamaz²,

Doğan³

2015

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…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: 51%

“…Selection of surgical techniques and appropriate timing are controversial topics. Previous studies have recommended pyloroplasty, gastroduodenostomy, and partial or total gastrectomy, based on the location and extent of gastric injury [9][10][11]14].…”

Section: Discussionmentioning

confidence: 99%