LAPAROSCOPIC GASTROENTEROANASTOMOSIS FOR GASTRIC OUTLET OBSTRUCTION SECONDARY TO ACCIDENTAL ACID INGESTION
Abstract
Background. A burn of the gastrointestinal tract due to the ingestion of corrosive substances is one of the most common causes leading to the development of persistent pathological changes. Objective. To analyze a clinical case of laparoscopic gastroenteroanastomosis in a patient with gastric outlet obstruction secondary to accidental acid ingestion. Material and methods. The laparoscopic gastroenteroanastomosis was successfully performed on a patient with gastric outlet obstruction secondary to accidental acid ingestion in October, 2019 at Grodno University Hospital. During the postoperative period, the patient was followed up and diagnostic observation was conducted. The patient’s medical record was analyzed as well. Results. The surgery proceeded uneventfully and lasted for 3 hours. Enteral feeding was initiated on the 3rd day after the operation and was delivered via a feeding tube using liquid diet. The postoperative period elapsed without complications. The patient was discharged from the hospital after nutritional status compensation on the 12th day after the operation. Conclusions. Laparoscopic gastroenteroanastomosis is a minimally invasive, easily tolerated and effective operation, and can be considered a good alternative to other modern surgical approaches to the treatment of post-burn pyloric stenosis.References
Chibishev A, Simonovska N, Shikole A. Postcorrosive injuries of upper gastrointestinal tract. Prilozi. 2010;31(1):297-316.
Ramasamy K, Gumaste VV. Corrosive ingestion in adults. J Clin Gastroenterol. 2003;37(2):119-124.
Gupta V, Wig JD, Kochhar R, Sinha SK, Nagi B, Doley RP, Gupta R, Yadav TD. Surgical management of gastric cicatrisation resulting from corrosive ingestion. International Journal of Surgery. 2009;7:257-261.
Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol. 2013;19(25):3918-3930.
Gupta V, Wig JD, Kochhar R, Sinha SK, Nagi B, Doley RP, Gupta R, Yadav TD. Surgical management of gastric cicatrisation resulting from corrosive ingestion. Int J Surg. 2009;7(3):257-261.
Balderas AB, Aceves MR, Ramírez PC, Rodríguez EG, Barriga Marín JÁ. Endoscopic findings of the digestive tract secondary to caustic ingestion in children seen at the Emergency Department. Arch Argent Pediatr. 2018;116(6):409-414.
Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Surgical management of corrosive strictures of stomach. Indian Journal of Gastroenterology. 2004;23(5):178-180.
Methasate A, Lohsiriwat V. Role of endoscopy in caustic injury of the esophagus. World J Gastrointest Endosc. 2018;10(10):274-282. https://doi.org/10.4253/wjge.v10.i10.274.
Kochhar R, Ashat M, Reddy YR, Dhaka N, Manrai M, Sinha SK, Dutta U, Yadav TD, Gupta V. Relook endoscopy predicts the development of esophageal and antropyloric stenosis better than immediate endoscopy in patients with caustic ingestion. Endoscopy. 2017;49(07):643-650. https://doi.org/10.1055/s-0043-104857.
Bruzzi M, Chirica M, Resche-Rigon M, Corte H, Voron T, Sarfati E, Zagdanski AM, Cattan P. Emergency Computed Tomography Predicts Caustic Esophageal Stricture Formation. Ann Surg. 2019;270(1):109-114. https://doi.org/10.1097/SLA.0000000000002732.
Andrade M, Sawamura R, Cupo P, Del Ciampo IR, Fernandes MI. Endoscopic Treatment of Gastric Outlet Obstruction Secondary to Accidental Acid Ingestion in a Child. J Pediatr Gastroenterol Nutr. 2016;62(1):90-92. https://doi.org/10.1097/MPG.0000000000000936.
McNeice A, Tham TC. Endoscopic balloon dilation for benign gastric outlet obstruction: Does etiology matter? Gastrointest Endosc. 2018;88(6):909-911. https://doi.org/10.1016/j.gie.2018.08.007.
Klimashevich AV, Nikolskij VI, Bogonina OV, Shabrov AV. Stentirovanie pishhevoda pri posleozhogovyh rubcovyh strikturah [Stenting of the esophagus at postburn cicatricial strictures]. Fundamentalnye issledovanija. 2013;2:83-87. (Russian).
Tekant G, Eroğlu E, Erdoğan E, Yeşildağ E, Emir H, Büyükünal C, Yeker D. Corrosive injury-induced gastric outlet obstruction: a changing spectrum of agents and treatment. J Pediatr Surg. 2001;36(7):1004-1007.
El-Asmar KM, Allam AM. Surgical management of corrosive-induced gastric injury in children: 10years experience. J Pediatr Surg. 2018;53(4):744-747. https://doi.org/10.1016/j.jpedsurg.2017.05.014.
Keh SM, Onyekwelu N, McManus K, McGuigan J. Corrosive injury to upper gastrointestinal tract: Still a major surgical dilemma. World J Gastroenterol. 2006;12(32):5223-5228.
Herrera-Almario G, Strong VE. Minimally Invasive Gastric Surgery. Ann Surg Oncol. 2016;23(12):3792-3797. https://doi.org/10.1245/s10434-016-5429-3.
Dapri G, Himpens J, Mouchart A, Ntounda R, Claus M, Dechamps P, Hainaux B, Kefif R, Germay O, Cadière GB. Laparoscopic transhiatal esophago-gastrectomy after corrosive injury. Surg Endosc. 2007;21(12):2322-2325.
Peterli R, Wölnerhanssen BK, Peters T, Vetter D, Kröll D, Borbély Y, Schultes B, Beglinger C, Drewe J, Schiesser M, Nett P, Bueter M, Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SMBOSS Randomized Clinical Trial. JAMA. 2018;319(3):255-265. https://doi.org/10.1001/jama.2017.20897.
Stegnij KV, Sarvanov IA, Macak VA, Krekoten AA. Mini-laparoskopija v hirurgii organov brjushnoj polosti [Minilaparoscopy in abdominal surgery]. Tihookeanskij medicinskij zhurnal. 2008;1:77-81. (Russian).
Javed AA, Agarwal K. Total laparoscopic esophageal bypass using a colonic conduit for corrosive-induced esophageal stricture. Surg Endosc. 2013;27(10):3726-3732.
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