Volume 8, Issue 25 (Summer 2014)                   IJT 2014, 8(25): 1093-1097 | Back to browse issues page

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Nouri Broujerdi G. A middle age addicted man with caustic stomach. IJT. 2014; 8 (25) :1093-1097
URL: http://ijt.arakmu.ac.ir/article-1-328-en.html
Department of surgery, Amir Almomenin Hospital, Arak University of Medical Sciences, Iran. , rezanouri51@yahoo.com
Abstract:   (3320 Views)
Background: The term caustic generally refers to alkaline and the term corrosive generally refers to acidic agents' injury however, in medical literature caustic is frequently a term applied to both substances. Ingested alkali typically damage the esophagus more than stomach or duodenum, whereas acids usually cause more severe gastric injury. Since esophagus has a slightly alkaline pH, its epithelium is more resistant to acids, so that only 6 to 20% of those who ingest these substances present lesions in this organ.
Case : A middle-aged addicted man who drunk hydrochloric acid accidentally had extensive necrosis of the stomach with remarkable sparing of the esophagus on second look exploration. A total gastrectomy with a Roux-en-Y esophago-jejunostomy with feeding jejunostomy was performed.
Conclusion : In caustic GI injury, patients who are operated on and found to have no evidence of extensive esophago-gastric necrosis, a biopsy of the posterior gastric wall should be performed to exclude occult injury. If histologically there is a question of viability, a second look operation should be performed within 36 hours.
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Type of Study: Research | Subject: Special

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