caa a22 4500 60624705X CHVBK 20210128101343.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0969-2 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0969-2 Surgical Management of Gastric Outlet Obstruction Due to Corrosive Injury [Elektronische Daten] [Dipankar Ray, Gautam Chattopadhyay] Corrosive gastric injury is common in India due to easily available acids which are ingested mostly for suicide attempt. Resulting gastric outlet strictures need operation in majority of the patients. We review our experience of surgical management of these cases. Thirty-seven consecutive patients over the last 4years with corrosive gastric strictures were reviewed. Extent of gastric cicatrisation was assessed by endoscopy and barium study. Nutrition was maintained, if necessary by feeding jejunostomy. Early definitive operation was preferred. Outcome of surgery was assessed. Patients presented with vomiting, weight loss, and dysphagia. Twenty patients (54%) had predominant gastric corrosive injury. The oesophageal stricture in other 17 patients (46%) could be managed easily by endoscopic dilatation. Prepyloric short gastric stricture was found in 19 patients (51%). Surgical procedures included stricturoplasty for short strictures and gastrojejunostomy for more extensive distal gastric cicatrisation. Complications included wound infection in six (16%) patients and pneumonitis in four (11%) patients. All patients gained weight within 6 to 8weeks. Management of corrosive gastric injury depends on the extent of gastric involvement, associated oesophageal stricture, and general condition of the patient. Early definitive operation and avoiding gastric resection can give satisfactory outcome. Association of Surgeons of India, 2013 Corrosive injury nationallicence Gastric outlet obstruction nationallicence Stricturoplasty nationallicence Pyloroplasty nationallicence Ray Dipankar Department of Surgical Gastroenterology, Medical College Kolkata, West Bengal Health University, Flat 10A/2 Anupama Housing Complex VIP Road, 700052, Kolkata, West Bengal, India aut Chattopadhyay Gautam Department of Surgical Gastroenterology, Medical College Kolkata, West Bengal Health University, Flat 10A/2 Anupama Housing Complex VIP Road, 700052, Kolkata, West Bengal, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 662-665 0972-2068 77<662 2015 77 12262 https://doi.org/10.1007/s12262-013-0969-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0969-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ray Dipankar Department of Surgical Gastroenterology, Medical College Kolkata, West Bengal Health University, Flat 10A/2 Anupama Housing Complex VIP Road, 700052, Kolkata, West Bengal, India aut NATIONALLICENCE 700 1- Chattopadhyay Gautam Department of Surgical Gastroenterology, Medical College Kolkata, West Bengal Health University, Flat 10A/2 Anupama Housing Complex VIP Road, 700052, Kolkata, West Bengal, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 662-665 0972-2068 77<662 2015 77 12262