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


Tekant G. , Eroglu E., Erdogan E., Yesildag E., Emir H. , Buyukunal C., ...Daha Fazla

JOURNAL OF PEDIATRIC SURGERY, cilt.36, sa.7, ss.1004-1007, 2001 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36 Konu: 7
  • Basım Tarihi: 2001
  • Doi Numarası: 10.1053/jpsu.2001.24725
  • Dergi Adı: JOURNAL OF PEDIATRIC SURGERY
  • Sayfa Sayıları: ss.1004-1007

Özet

Methods: During the last 5 years, 61 children were admitted to the authors' hospital because of corrosive substance ingestion, and among them 6 patients were seen with gastric outlet obstruction. Two of them had ingested acid substances, and the other 4 had ingested alkali corrosives. The mean age was 2.9 years (range, 1.5 to 3). Their common complaint was postprandial vomiting, which had begun 3 weeks after the event (range, 1 week to 10 weeks). Endoscopic evaluation and barium contrast radiographies were performed at admission. Four patients had a pyloric stricture, 1 had an antral stricture, and another had an antropyloric stricture. Balloon dilatation of the pylorus tin 1 patient), pyloroplasty tin 3 patients), and Billroth procedures tin 2 patients) were performed. The mean follow-up period was 22 months (range, 6 weeks to 48 months). One patient, who had undergone a Billroth I procedure, underwent reoperation because of intestinal obstruction 3 months later. On follow-up they are all free of symptoms.