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Isolated corrosive pyloric stenosis without oesophageal involvement: An experience of 21 years.
MedLine Citation:
PMID:  21684482     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND AND STUDY AIMS: Corrosive ingestion is common in Asia and it is a frequent cause of morbidity secondary to intense fibrotic reaction and stricture formation of the oesophagus. Isolated corrosive pyloric stenosis without oesophageal involvement is an uncommon phenomenon.
PATIENTS AND METHODS: All consecutive patients, with corrosive ingestion in the last two decades, were reviewed and analysed. Eleven out of 201 patients with corrosive ingestion had isolated gastric outlet obstruction.
RESULTS: Patients' age ranged from 11 to 29years with a male:female ratio of 1.75:1. All patients developed pyloric stenosis following ingestion of solution of acids. Barium study revealed complete/near-complete gastric outlet obstruction in all patients. On laparotomy, there was gastric dilatation in 10 patients, who underwent posterior gastrojejunostomy, whereas the stomach was contracted in one patient, and hence anterior gastrojejunostomy was performed. Seven patients were completely relieved of their symptoms; persistent postprandial epigastric fullness and/or dyspepsia was observed in four patients whose gastrojejunostomy stoma was found adequate on barium study, suggestive of gastric motility disorder. We did not encounter gastrojejunostomy-related complication of stomal ulcer/stenosis in our patients.
CONCLUSION: Isolated corrosive pyloric stenosis is not as rare as is commonly thought. Gastrojejunostomy is effective, although a fair percentage of patients appear to develop gastric motility disorder secondary to corrosive injury.
Authors:
Maulana Mohammed Ansari; Shahla Haleem; Syed Hasan Harris; Roobina Khan; Iqbal Zia; Mohammed Hanif Beg
Publication Detail:
Type:  Journal Article     Date:  2011-05-05
Journal Detail:
Title:  Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology     Volume:  12     ISSN:  2090-2387     ISO Abbreviation:  Arab J Gastroenterol     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101298363     Medline TA:  Arab J Gastroenterol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  94-8     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Arab Journal of Gastroenterology. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Department of Surgery, J.N. Medical College, Aligarh Muslim University, Aligarh 202002, UP, India.
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