@article{ref1,
title="Elective surgery for corrosive-induced gastric injury",
journal="World journal of surgery",
year="1996",
author="Chaudhary, A. and Puri, A. S. and Dhar, P. and Reddy, P. and Sachdev, A. and Lahoti, D. and Kumar, N. and Broor, S. L.",
volume="20",
number="6",
pages="703-6; discussion 706",
abstract="Gastric cicatrization is a well recognized late sequela of corrosive gastric injury, but the optimum timing and type of surgery for this complication are still unclear. Over a 7-year period (1988-1994) 34 patients underwent elective surgery for gastric lesions secondary to corrosive ingestion. A total of 18 (53%) patients had an associated esophageal stricture and presented with dysphagia, 15 (44%) patients had features of gastric outlet obstruction, 6 (18%) had diffuse gastric injury, and 28 (82%) had a segmental lesion. A tube jejunostomy was done in 23 (68%) patients to improve nutrition and resulted in a significant increase in weight and in the serum protein level after 8 weeks of tube feeding. Elective surgery was performed 3 to 24 months (average 7 months) after ingestion of the corrosive substance. Gastric resection was done in 20 (59%) patients and gastrojejunostomy (without vagotomy) in 11 (32%); at follow-up the latter group did not exhibit development of a stomal ulcer. In patients with an associated esophageal stricture, endoscopic dilatation was successful in 89% patients and simplified the surgical approach. In conclusion, the success of surgery for corrosive-induced gastric injury depends on selecting the right procedure and intervening at the appropriate time.<p /><p>Language: en</p>",
language="en",
issn="0364-2313",
doi="",
url="http://dx.doi.org/"
}