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[Chemical burns of the stomach in children]
Insights
This study shows that surgical treatment for gastric burns in children, specifically gastroenterostomy, leads to successful recovery and positive long-term outcomes for pediatric patients with gastric stenosis.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Toxicology
Context:
- Observational study of seven children aged 1 year 4 months to 6 years with isolated gastric burns.
- Burns were caused by sulfuric acid (4 children), hydrochloric acid (2 children), and unknown poison (1 child).
- All patients presented with gastric stenosis, either decompensated (6 children) or subcompensated (1 child).
Purpose:
- To evaluate the efficacy of surgical intervention for isolated gastric burns in pediatric patients.
- To assess the outcomes of gastroenterostomy in children with gastric stenosis secondary to corrosive injuries.
- To determine the long-term results of surgical management for pediatric gastric burns.
Summary:
- Seven children underwent surgical treatment for gastric burns resulting in stenosis.
- Gastroenterostomy (posterior in 6, anterior with interintestinal stoma in 1) was performed.
- Patients experienced recovery within 10-12 days post-operation, with positive long-term follow-up (2-9 years).
Impact:
- Gastroenterostomy is an effective treatment for pediatric gastric burns and resulting stenosis.
- Surgical intervention ensures good short-term recovery and excellent long-term prognosis in affected children.
- Highlights the importance of timely surgical management for corrosive gastric injuries in pediatric populations.
Abstract:
Under observation were seven children, aged from 1 year 4 months to 6 years, with isolated gastric burns. In 4 children the burn was produced by sulphuric acid, in 2 -- by hydrochloric acid, in 1 -- by an unknown poison. All these patients were operated upon, 6 children with decompensated stenoses within the terms from 30 to 48 days, 1 child with a subcompensated stenosis -- 3 months following the burn. Gastroenterostomy was performed in all of them: in 6 -- posterior, in 1 -- anterior with an accessory interintestinal stoma. All patients recovered and were discharged from the clinic 10--12 days following the operation. Late results were studied in 4 children during the period from 2 to 9 years postoperatively. All of them are feeling well.