title: Surgical treatment and its long-term result for caustic-induced prepyloric obstruction.
abstract: OBJECTIVE
  To present our long-term results of the treatment of caustic-induced prepyloric obstruction, and to set out guidelines for the management of such patients.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  General hospital (medical centre), Taiwan.
  
  
  METHODS
  30 patients (8 male and 22 female, mean age 34 years, range 13-62) who developed prepyloric obstruction out of 271 treated for caustic injuries of the upper gastrointestinal tract.
  
  
  METHODS
  Gastrojejunostomy (n = 24), antrectomy and Billroth I reconstruction (n = 4), and antrectomy and Billroth II reconstruction (n = 2). Four patients required second operations: oesophageal reconstruction for stricture (n = 3), and gastrojejunostomy for restenosis of Billroth I anastomosis (n = 1).
  
  
  METHODS
  Morbidity and mortality.
  
  
  RESULTS
  No patient died postoperatively, and there were three complications--wound infection, internal bleeding, and stenosis of the Billroth I anastomosis. 21 patients were able to enjoy their normal diet postoperatively, 5 required periodic dilatation of oesophageal strictures, and 4 required further operations.
  
  
  CONCLUSIONS
  Gastrojejunostomy gives good long term results as long as there is no oesophageal stricturing, and morbidity and mortality are low. The long term outcome is dependent on the degree of oesophageal involvement.
authors.affiliation: Department of Surgery, Taichung Veterans General Hospital, Taiwan, R.O.C.
authors.forename: C P
authors.initials: CP
authors.lastname: Hsu
authors.forename: C Y
authors.initials: CY
authors.lastname: Chen
authors.forename: N Y
authors.initials: NY
authors.lastname: Hsu
authors.forename: J Y
authors.initials: JY
authors.lastname: Hsia
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D002424:Caustics / Q000009:adverse effects*; D002648:Child; D004940:Esophageal Stenosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D017219:Gastric Outlet Obstruction / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D006801:Humans; D015994:Incidence; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011707:Pyloric Stenosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D012189:Retrospective Studies; D012307:Risk Factors; D013270:Stomach / Q000601:surgery*; D013406:Suicide, Attempted; D015996:Survival Rate; D013624:Taiwan / Q000453:epidemiology
chemical_list: D002424:Caustics