Gastric outlet obstruction secondary to acid ingestion in children

Özcan, Coşkun; Ergün, Orkan; Şen, Teoman; Mutaf, Oktay

doi:10.1016/j.jpedsurg.2004.07.008

Cited by 35 publications

(41 citation statements)

References 12 publications

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“…Acid ingestions can spare the esophagus but can result in corrosive-induced gastric outlet obstruction [5][6][7]. Other than dilute hydrofluoric acid (<8% concentration), systemic and metabolic abnormalities rarely occur.…”

Section: Discussionmentioning

confidence: 99%

A complicated hospitalization following dilute ammonium chloride ingestion

et al. 2009

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Introduction: Unintentional ingestions of dilute (<7.5%) cleaning solutions containing ammonium chloride typically do not cause serious harm. We present a case of an intentional ingestion of a dilute ammonium chloride solution resulting in significant morbidity.Case Report: A 60-year-old woman with bipolar disorder presented one hour after an intentional ingestion of approximately 15 fluid ounces (500 mL) of an algae and odor humidifier treatment containing a total of 2.25% ethyl ammonium chloride. Initial complaints included nausea with a single episode of nonbilious, nonbloody emesis, mild shortness of breath, and chest and epigastric pain. Physical exam was remarkable for bilateral wheezing and epigastric tenderness. An emergent endoscopy demonstrated a Grade 2b caustic injury in the esophagus and a Grade 3b injury in the stomach. Due to persistent cough, copious oral secretions, and worsening hoarseness, the patient was intubated and admitted to the ICU. Her course was complicated by mild hypotension, nonanion gap metabolic acidosis, and oliguria treated successfully with intravenous (IV) fluids. She also developed bilateral pneumonias later in the hospital course. Bedside bronchoscopy showed laryngeal edema and mucosal injury to the segmental level. The patient underwent tracheostomy on hospital day 6. An upper GI swallow study revealed poor esophageal motility in the mid-to lower third of the esophagus. The patient gradually tolerated oral fluids and on hospital day 20 had her tracheostomy tube removed. The patient was subsequently transferred to the psychiatric ward on hospital day 22.Conclusion: Intentional ingestions of dilute ammonium chloride solutions can cause serious injury to the gastrointestinal tract and pulmonary systems, which can result in a complicated and prolonged hospitalization.

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Section: Discussionmentioning

confidence: 99%

A complicated hospitalization following dilute ammonium chloride ingestion

et al. 2009

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“…It is well known that gastric injury and PS usually occur in cases of acidic ingestion; it has been reported that the incidence of PS secondary to alkaline ingestion may differ [1,[9][10][11]. The caustic substances ingested by almost all of the patients in the present study were acidic except one.…”

Section: Discussionmentioning

confidence: 45%

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

et al. 2012

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“…Many authors have demonstrated a satisfactory long term patency rate for such anastomoses [1,2,6]. This becomes the only available option where near full thickness gastric wall burns in posterior stomach cause complete inflammatory obliteration of lesser sac with pancreas getting densely adherent to stomach.…”

Section: Brief Reportsmentioning

confidence: 99%

Corrosive acid injury of the stomach

Wijeratne¹,

Ratnatunga

Dharrmapala³

et al. 2015

Ceylon Med. J.

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Ingestion of corrosives with accidental or suicidal intent is a common problem in Sri Lanka. Management options and outcomes of corrosive injuries on stomach are not well documented in our setting. The clinical presentation, complications and management outcomes of nine patients with corrosive injury to stomach are presented. Gastric outlet obstruction seen in majority, was managed with bypass procedure (n=5) or resection (n=4). The outcomes of management were successful with both methods.

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Gastric outlet obstruction secondary to acid ingestion in children

Cited by 35 publications

References 12 publications

A complicated hospitalization following dilute ammonium chloride ingestion

A complicated hospitalization following dilute ammonium chloride ingestion

Management of pyloric stricture in children: endoscopic balloon dilatation and surgery

Corrosive acid injury of the stomach

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