Chronic corrosive injuries of the stomach-a single unit experience of 109 patients over thirty years.

World Journal of Surgery
N AnanthakrishnanVikram Kate

Abstract

Corrosive gastric injuries are not uncommon in developing countries because acids, which are more frequently associated with gastric injury, constitute the major type of offending chemical. The spectrum of gastric injury may vary from acute to varying types of chronic gastric involvement. The 109 consecutive patients with chronic corrosive gastric injuries treated in a single tertiary care superspecialty institute over a period of 30 years were reviewed with special reference to presentation and problems in management. Acids contributed to 82.6% of chronic injuries. Chronic gastric injuries were usually one of five types in these patients. The majority had prepyloric strictures (83.5%). The remaining strictures were antral (4.6%), body (3.7%), pyloroduodenal (2.7%), or diffuse (5.5%).Twenty-one (22.8%) patients had a delayed gastric outlet obstruction, and18 patients had a concomitant esophageal stricture requiring a bypass. Most of the patients with chronic injury underwent surgical correction with Billroth I gastrectomy (77.1%), loop gastrojejunostomy (11.0%), and distal gastrectomy with Polya reconstruction (3.7%). Other procedures performed were pyloroplasty in 1 patient and colonic conduit jejunal anastomosis in 6 patients...Continue Reading

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Citations

Apr 2, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·A ChibishevL T Chitkushev
Oct 29, 2013·Best Practice & Research. Clinical Gastroenterology·Efstratios SaliakellisNikhil Thapar
Jan 1, 2011·Case Reports in Gastrointestinal Medicine·Raffaele MantaGabrio Bassotti
Feb 12, 2011·Journal of Visceral Surgery·R LebeauJ B Kanga Miessan
Jun 21, 2011·Arab Journal of Gastroenterology : the Official Publication of the Pan-Arab Association of Gastroenterology·Maulana Mohammed AnsariMohammed Hanif Beg
Jan 6, 2016·The Indian Journal of Surgery·Dipankar Ray, Gautam Chattopadhyay
Sep 29, 2015·World Journal of Emergency Surgery : WJES·Luigi BonavinaPredrag Pesko
Jul 13, 2016·Medicine, Science, and the Law·Rajanikanta SwainSudhir Kumar Gupta
Aug 9, 2017·World Journal of Surgery·Vaibhav Kumar VarshneyPushp Sheetal
Jul 6, 2018·Journal of Minimal Access Surgery·Kapil NagarajBiju Pottakkat
Mar 2, 2021·Journal of Surgical Case Reports·Mutlaq AlmalkiShatha Althobaiti
Feb 6, 2020·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Raja KalayarasanVikram Kate
Apr 20, 2019·The Indian Journal of Radiology & Imaging·Rohan KamatRakesh Kochhar

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