caa a22 4500 47703487X CHVBK 20180405111302.0 cr unu---uuuuu 170330e19960701xx s 000 0 eng 10.1007/s002689900107 doi (NATIONALLICENCE)springer-10.1007/s002689900107 Elective Surgery for Corrosive-Induced Gastric Injury [Elektronische Daten] [Adarsh Chaudhary, Amarinder Singh Puri, Puneet Dhar, Pratap Reddy, Ajay Sachdev, Deepak Lahoti, Nirmal Kumar, Sohan Lal Broor] Abstract. Gastric cicatrization is a well recognized late sequela of corrosive gastric injury, but the optimum timing and type of surgery for this complication are still unclear. Over a 7-year period (1988-1994) 34 patients underwent elective surgery for gastric lesions secondary to corrosive ingestion. A total of 18 (53%) patients had an associated esophageal stricture and presented with dysphagia, 15 (44%) patients had features of gastric outlet obstruction, 6 (18%) had diffuse gastric injury, and 28 (82%) had a segmental lesion. A tube jejunostomy was done in 23 (68%) patients to improve nutrition and resulted in a significant increase in weight and in the serum protein level after 8 weeks of tube feeding. Elective surgery was performed 3 to 24 months (average 7 months) after ingestion of the corrosive substance. Gastric resection was done in 20 (59%) patients and gastrojejunostomy (without vagotomy) in 11 (32%); at follow-up the latter group did not exhibit development of a stomal ulcer. In patients with an associated esophageal stricture, endoscopic dilatation was successful in 89% patients and simplified the surgical approach. In conclusion, the success of surgery for corrosive-induced gastric injury depends on selecting the right procedure and intervening at the appropriate time.: 1996 by the Société Internationale de Chir, ugie Chaudhary Adarsh Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Puri Amarinder Singh Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Dhar Puneet Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Reddy Pratap Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Sachdev Ajay Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Lahoti Deepak Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Kumar Nirmal Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Broor Sohan Lal Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut https://doi.org/10.1007/s002689900107 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002689900107 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chaudhary Adarsh Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Puri Amarinder Singh Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Dhar Puneet Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Reddy Pratap Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Sachdev Ajay Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Lahoti Deepak Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Kumar Nirmal Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut NATIONALLICENCE 700 1- Broor Sohan Lal Department of Gastrointestinal Surgery and Gastroenterology, G.B. Pant Hospital, New Delhi 110002, India, IN aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer