Surgical management of corrosive strictures of stomach.

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dc.contributor.authorAgarwal, Shaleenen_US
dc.contributor.authorSikora, Sadiq Sen_US
dc.contributor.authorKumar, Ashoken_US
dc.contributor.authorSaxena, Rajanen_US
dc.contributor.authorKapoor, Vinay Ken_US
dc.date.accessioned2004-09-16en_US
dc.date.accessioned2009-05-29T02:58:43Z
dc.date.available2004-09-16en_US
dc.date.available2009-05-29T02:58:43Z
dc.date.issued2004-09-16en_US
dc.description.abstractBACKGROUND: Corrosive injuries of the upper aero-digestive tract are a frequent cause of morbidity in India. We report here our institution's experience in managing patients with corrosive strictures of the stomach. METHODS: Records of 28 patients who underwent definitive surgery for corrosive strictures of the stomach in our institution over a 15-year period were reviewed. RESULTS: The main presenting complaints were vomiting (75%), dysphagia (46%) and significant weight loss (100%). Pre-operative evaluation included barium and endoscopic studies. Most patients had antro-pyloric strictures (n=22); in 6 patients, however, near-total or total gastric involvement was observed. Thirteen (46%) patients had associated strictures of the esophagus; of these, 7 responded to esophageal dilation. Strictures of the stomach were managed with resectional procedures like distal gastrectomy (n=16), subtotal gastrectomy (1) or total gastrectomy (3) and esophagogastrectomy (1) in 21 (75%) patients. The remaining 7 patients underwent bypass procedures like gastrojejunostomy (5), stricturoplasty (1), and colonic bypass of esophagus and stomach (1). Three patients had entero-cutaneous fistulae in the postoperative period. One patient died in hospital of septicemia and malnutrition. CONCLUSIONS: In patients with corrosive strictures of the stomach, surgery, tailored according to the extent of gastric involvement and presence of associated esophageal strictures, gives excellent results.en_US
dc.description.affiliationDepartment of Surgical Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.en_US
dc.identifier.citationAgarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Surgical management of corrosive strictures of stomach. Indian Journal of Gastroenterology. 2004 Sep-Oct; 23(5): 178-80en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/64788
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAnastomosis, Surgicalen_US
dc.subject.meshBurns, Chemical --etiologyen_US
dc.subject.meshCaustics --poisoningen_US
dc.subject.meshConstriction, Pathologic --chemically induceden_US
dc.subject.meshDeveloping Countriesen_US
dc.subject.meshEsophageal Stenosis --chemically induceden_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshGastrectomy --methodsen_US
dc.subject.meshGastric Outlet Obstruction --chemically induceden_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPyloric Stenosis --chemically induceden_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRisk Assessmenten_US
dc.subject.meshSurvival Rateen_US
dc.subject.meshTreatment Outcomeen_US
dc.titleSurgical management of corrosive strictures of stomach.en_US
dc.typeJournal Articleen_US
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