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Corrosive pyloric obstruction without oesophageal involvement in children--a report of two cases
M H Beg1, Reyazuddin, M M Ansari
1Division of Cardiothoracic Surgery, J.N. Medical College, Aligarh, India.
Insights
Children experiencing gastric outlet obstruction from acid ingestion require prompt diagnosis and surgical intervention. This case highlights gastrojejunostomy as an effective treatment for this severe pediatric condition.
Area of Science:
- Pediatric Gastroenterology
- Surgical Gastroenterology
Background:
- Acid ingestion can lead to severe gastrointestinal complications in children.
- Gastric outlet obstruction (GOO) is a critical condition requiring timely management.
Observation:
- Two pediatric cases of GOO secondary to acid ingestion without esophageal involvement were observed.
- Patients presented with epigastric pain and frequent vomiting.
Findings:
- Diagnosis was confirmed using barium swallow and barium meal examinations.
- Surgical treatment involved gastrojejunostomy.
Implications:
- Gastrojejunostomy is a viable surgical option for pediatric gastric outlet obstruction caused by acid ingestion.
- Early diagnosis and intervention are crucial for favorable outcomes in such cases.
Abstract:
Two children with gastric outlet obstruction without oesophageal involvement secondary to acid ingestion are described. They presented with frequent vomiting along with pain in the epigastrium. The diagnosis was made by barium swallow and barium meal examination. Treatment consisted of gastrojejunostomy. The literature on this subject is briefly reviewed.