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Pediatric gastric outlet obstruction following corrosive ingestion

B H Ozokutan1, H Ceylan, I Ertaşkin

  • 1Department of Pediatric Surgery, Gaziantep University Medical Faculty, 27310, Gaziantep, Turkey. ozokutan@hotmail.com

Pediatric Surgery International
|May 6, 2010
PubMed

Insights

Gastric outlet obstruction (GOO) is a common complication of corrosive ingestion in children, often requiring surgery. Prevention is key to avoiding these serious gastric injuries.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Toxicology

Background:

  • Corrosive substance ingestion poses significant health risks to children.
  • Gastric injury, particularly gastric outlet obstruction (GOO), is a serious complication following corrosive ingestion.
  • GOO can lead to severe symptoms and necessitate surgical intervention.

Purpose of the Study:

  • To investigate the characteristics and outcomes of pediatric patients with gastric outlet obstruction (GOO) resulting from corrosive ingestion.
  • To evaluate the surgical management and long-term results for children with GOO due to corrosive intake.

Main Methods:

  • Retrospective review of medical records for 20 pediatric patients diagnosed with GOO after corrosive ingestion between 2002 and 2009.
  • Analysis of patient demographics, ingested substances, time to GOO development, clinical presentation, surgical procedures, and follow-up outcomes.

Main Results:

  • All 20 patients (10 boys, 10 girls; mean age 5.1 years) ingested acid substances.
  • The mean time from ingestion to GOO development was 27.8 days, with common symptoms including postprandial vomiting and weight loss.
  • Surgical interventions included gastroduodenostomy, Billroth I, pyloroplasty, and gastrojejunostomy; two patients required a second operation for anastomotic stricture, with no surgical mortality.

Conclusions:

  • Gastric outlet obstruction (GOO) is a frequent and significant gastric complication of corrosive ingestion in children, often requiring surgical treatment.
  • Effective prevention strategies for corrosive ingestion are crucial to mitigate the incidence of such severe gastrointestinal complications.
  • Surgical management of GOO in this pediatric cohort yielded favorable long-term outcomes with symptom resolution.
Abstract

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