The delayed gastric syndrome with pyloric stenosis and achlorhydria following the ingestion of acid—a definite clinical entity

Karon, Allan B.

doi:10.1007/bf02231908

Cited by 16 publications

(6 citation statements)

References 7 publications

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“…Period of development of gastric outlet obstruction was about 3_4 weeks days, mean (3.5) weeks. Table (1) . Chart (1).…”

Section: Resultsmentioning

confidence: 99%

“…Table (1) . Chart (1). Presentation and diagnosis Of Pyloric Stricture Post Sulfuric Acid Ingestion Initially presentation were mild gastritis.…”

Section: Resultsmentioning

confidence: 99%

“…For that reason vitriol for device more available, unsafe packing and also it's color like water or stored in soda or beverage bottles in homes to which children have quick access, making incidental drinks by children more common. (Figure (1). [2], [5], [20].The exact prevalence and incidence of those injuries in Yemen is unknown and there is no local literature.…”

Section: Resultsmentioning

confidence: 99%

“…Acid ingestion causing injury to the stomach was first reported in 1882, but it absolutely was not until 1962 that Karon described the pathophysiological events leading to stricture in those patients [1]. Corrosive acid ingestion could also be a typical source of morbidity within the developing world.…”

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confidence: 99%

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Gastric Outlet Obstruction Post Acid Ingestion in Pediatrics

Nasr

2021

IJMBS

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Aim: Evaluate clinical pattern, diagnosis, surgical management and outcome of Gastric outlet obstruction in children post accidental ingestion corrosive (sulfuric acid of battery) , also role of continuing public education to reduce and avoid incidence these unfortunate events. Patients & method: prospective study for 20 patients’ children with isolated gastric outlet obstruction post corrosive sulfuric acid ingestion was admitted and operated in Saudi hospital at Hajjah Yemen in period April 2015_April 2021. The study evaluates patients’ demographic data, clinical presentation, diagnosis and management, also included in this study the Comparison proportions between two surgical procedures used for management this patient (group (A) pyloric resection and gastroduodenostomy and group (B) gastrojejunostomy with Braun anastomosis) with P value >0.05 was non-significant. Results: Twenty patients with gastric outlet obstruction (12 boys and 8 girls), (Mean age was 4.5). Main presenting symptom recurrent attacks vomiting and loss of weight. The interval between acid ingestion and presentation ranged from 3_4weeks(mean=3.5weeks). The History, Barium swallow and meal used as diagnostic tool because safe, inexpensive. Surgical procedure included group (A)pyloric resection and gastroduodenostomy (n=10) and group (B) gastrojejunostomy with Braun anastomosis (n=10). Comparison between the two surgical procedures show all safe, less morbid, no mortality and no significant difference in end outcome result follow-up period up 2 years, all patients are symptoms free and gained adequate weight. Conclusion: for patients children post corrosive accident ingestion with gastric outlet obstruction The History, barium swallow and meal used as diagnostic tool. Early surgery between 4_6 weeks by resection or bypass remains the treatment of choice with best result. To prevent these unfortunate events by encourage the Family education about clear labelling of dangerous substances and keeps this substance Far from reaching the kids. Key word: corrosive induce gastric outlet obstruction; pyloric stricture; gastric outlet obstruction in pediatrics

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“…Period of development of gastric outlet obstruction was about 3_4 weeks days, mean (3.5) weeks. Table (1) . Chart (1).…”

Section: Resultsmentioning

confidence: 99%

“…Table (1) . Chart (1). Presentation and diagnosis Of Pyloric Stricture Post Sulfuric Acid Ingestion Initially presentation were mild gastritis.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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Gastric Outlet Obstruction Post Acid Ingestion in Pediatrics

Nasr

2021

IJMBS

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“…Corrosive ingestion causing injury to the stomach was first reported in 1882 but it was not until 1962 that Karon described the pathophysiological events leading to pyloric stenosis in adult patients. 6 Corrosive ingestion was followed by a latent period, typically one to two weeks, where patients may be asymptomatic. Antropyloric stenosis with gastric outlet obstruction symptoms develop subsequently.…”

Section: Discussionmentioning

confidence: 99%

Heineke-Mikulicz pyloroplasty for isolated pyloric stricture caused by corrosive ingestion in children

et al. 2019

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Corrosive ingestion in children is a common problem in low income countries. These agents cause injuries and later strictures of esophagus and stomach. Gastric outlet obstruction is known complication of acids and surgery is the mainstay of treatment. There are multitude of surgical options for these strictures depending on the involved segment of the stomach and experience of the surgeon. Here we present three cases of children who accidentally ingested acid stored in soda bottles and subsequently developed isolated pyloric strictures. These cases presented between August 2018 and April 2019 to our facility, a tertiary care hospital in Karachi, Pakistan. All three patients had an initial latent period of one to two weeks following corrosive ingestion, after which symptoms of gastric outlet obstruction appeared. Intraoperatively, all three had normal esophagus and antrum but scarred and strictured pylorus. Heineke-Mikulicz pyloroplasty was done in these cases without complications and the outcomes were satisfactory. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1714 How to cite this:Soomro MA, Aftab M, Hasan M, Arbab H. Heineke-Mikulicz pyloroplasty for isolated pyloric stricture caused by corrosive ingestion in children. Pak J Med Sci. Special Supplement ICON 2020. 2020;36(1):S87-S90. doi: https://doi.org/10.12669/pjms.36.ICON-Suppl.1714 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Complete Obstruction of the Gastric Antrum in Children Following Acid Ingestion

Cochran¹

1978

Arch Surg

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The delayed gastric syndrome with pyloric stenosis and achlorhydria following the ingestion of acid—a definite clinical entity

Cited by 16 publications

References 7 publications

Gastric Outlet Obstruction Post Acid Ingestion in Pediatrics

Gastric Outlet Obstruction Post Acid Ingestion in Pediatrics

Heineke-Mikulicz pyloroplasty for isolated pyloric stricture caused by corrosive ingestion in children

Complete Obstruction of the Gastric Antrum in Children Following Acid Ingestion

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