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Citation |
Ozokutan BH, Ceylan H, Ertaşkın I, Yapıcı S. Pediatr. Surg. Int. 2010; 26(6): 615-618. |
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Affiliation |
Department of Pediatric Surgery, Gaziantep University Medical Faculty, 27310, Gaziantep, Turkey, ozokutan@hotmail.com. |
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Copyright |
(Copyright © 2010, Holtzbrinck Springer Nature Publishing Group) |
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DOI |
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PMID |
20443118 |
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Abstract |
PURPOSE: Corrosive substance ingestion is still a major medical and social problem for children. Gastric injury after corrosive ingestion is relatively uncommon as compared with esophageal injury. Gastric outlet obstruction (GOO) is a significant complication of corrosive ingestion. METHODS: Medical records of 20 consecutive patients with GOO due to corrosive ingestion during an 8-year period between 2002 and 2009 were retrospectively reviewed. RESULTS: There were 10 boys and 10 girls with a mean age of 5.1 years (1.5-15 years). Ingested material was acid in all the patients. Two patients had associated esophageal stricture. The mean time between the ingestion and the development of GOO was 27.8 days (range 21-45 days) and all the patients presented with postprandial epigastric distension, nonbilious vomiting and weight loss. Surgical treatment included gastroduodenostomy (n = 8), Billroth I (n = 7), pyloroplasty (n = 5), and gastrojejunostomy (n = 2) procedures for GOO. Anastomotic stricture requiring a second operation developed in two patients. There was no surgical mortality. The mean follow-up is 3.3 years and all patients are free of symptoms. CONCLUSION: GOO is one of the most common gastric complications of corrosive ingestion that may require surgical treatment. Prevention of corrosive ingestion has great importance to avoid such complications. Language: en |