Corrosive Injury Induced Gastric Outlet Obstruction in Children: A Case Report

Authors

  • Wannisa Poocharoen Department of Surgery, Uttaradit Hospital, Uttaradit, Thailand

Abstract

Accidental corrosive ingestion in children is one of the common problems in childhood trauma worldwide. Gastric outlet obstruction is rare, but it is a well-known complication of corrosive acid ingestion. It mostly occurs at the pylorus and antrum due to the pooling of the corrosive agent. However, most reports were in adult patients in which various treatment modalities were used with various outcomes. This report presents a successful experience with a 2-year-old boy with gastric outlet obstruction after an accidental corrosive ingestion. His symptoms developed 7 days after the ingestion. Modified Billroth I was performed at 6 weeks post injury. He was discharged 7 days after surgery with an uneventful post operative course. At present he is asymptomatic and thriving well.

References

1. Ozcan C, Ergun O, Sen T, Mutaf O. Gastric outlet obstruction secondary to acid ingestion in children. J Pediatr Surg 2004;39:1651-3.

2. Dogan Y, Erkan T, Cokugras FC, Kutlu T. Caustic gastroesophageal lesions in childhood: An analysis of 473 cases. Clin Pediatr 2006;45:435-8.

3. Tekant G, Eroglu E, Erdogan E, et al. Corrosive injury-induced gastric outlet obstruction: A changing spectrum of agents and treatment. J Pedriatr Surg 2001:36:1004-7,

4. Erdogan E, Eroglu E, Tekant G, et al. Management of esophagogastric corrosive injuries in children. Eur J Pediatr Surg 2003;13:289-93.

5. Ciftci AO, Senocak ME, Buyukpamukcu N, Hicsonmez A. Gastric outlet obstruction due to corrosive ingestion; incidence and outcome. Pediatr Surg Int 1999;15:88-91.

6. Kaushik R, Singh R, Sharma R, Attri AK, Bawa As. Corrosive-induced gastric outlet obstruction. Yonsei Med J2003;44:991-4.

7. Kochhar R, Sethy PK, Nagi B, Wig JD. Endoscopic balloon dilatation of benign gastric outlet obstruction. J Gastroenterol Hepatol 2004;19:418-22.

8. AgarwalS,Sikora SS, Kumar A, Saxena R, Kapoor VK: Surgical management of corrosive strictures of stomach, Indian J Gastroenterol 2004;23:178-80.

9. Solt J, Bajor J, Szabo M, Horvath OP. Long-term results of balloon catheter dilatation for benign gastric outlet stenosis. Endoscopy 2003;35:490-5.

10. Kochhar R, Sriram PV, Ray JD, Kumar S, Nagi B, Singh K. Intralesional steroid injections for corrosive induced pyloric stenosis. Endoscopy 1998;30:734-6.

11. Litovitz TL, Schmitz BF, Bailey KM. Annual report of the American Association of Poison Control Centers National Data Collection System. Am J Emerg Med 1990;8:394-442.

12. Huang YC, Ni YH, Lai HS, Chang MH. Corrosive esophagitis in children. Pediatr Surg Int 2004;20:207-10.

13. Nuutinen M, UhariM, KarvaliT, Kouvalainen K, Consequences of caustic ingestions in children. Acta Paediatr 1994;83:1200-5

14. Marks IN, Banks S, Werbeloff L, Farman J, Louw JH. The natural history of corrosive gastritis: Report of five cases. Am J Dig Dis 1963;8:509-24.

15. Brown RA, Millar AJ, Numanoglu A, Rode H.Y-V advancement antropyloroplasty for corrosive antral
strictures. Pediatr Surg Int 2002;18:252-4,

16. Keh SM, Onyekwelu N, McManus K, McCuigan J. Corrosive injury to upper gastrointestinal tract: Still a major dilemma. World J Gastroenterol 2006;12:5223-8.

17. Tseng YL, Wu MH, Lin MY, Lai WW. Early surgical correction for isolated gastric stricture following acid corrosion injury. Dig Surg 2002;19:276-80.

18. KayM, Wyllie R. Caustic ingestions and the role of endoscopy (Editorials), J Pediatr Gastroenterol Nutr 2001;32:8-10.

19. McAuley CE, Steed DL, Webster MW. Late sequelae of gastric acid injury. Am J Surg 1985;149:412-5.

20. Kennedy SC, Bavaki AE, Corrosive damage to stomach stimulating carcinoma. Br Med J 1967:4:93-4.

21. Chaudhary A, Puri AS, Dhar P, et al. Elective surgery for corrosive-induced gastric injury. World J Surg 1996;20:703-6,

22. Hsu CP, Chen CY, Hsu NY, Hsia JY. Surgical treatment and its long-term result for caustic-induced prepyloric obstruction. Eur J Surg 1997;163:275-9.

Downloads

Published

2008-06-30

How to Cite

1.
Poocharoen W. Corrosive Injury Induced Gastric Outlet Obstruction in Children: A Case Report. Thai J Surg [Internet]. 2008 Jun. 30 [cited 2024 Nov. 23];29(2):54-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/240883

Issue

Section

Case Reports