title: Augmentation gastroplasty using a segment of transverse colon for corrosive gastric stricture.
abstract: OBJECTIVE
  Diffuse corrosive gastric stricture is a relatively rare entity, and gastric ablative procedures are traditionally recommended for it. We emphasize the importance of preservation of a cicatrized stomach and describe its augmentation using a segment of transverse colon.
  A young female with a history of corrosive acid ingestion presented to our surgical unit with nonbilious vomiting following meals, consistent weight loss and features of gastric outlet obstruction. A barium study revealed a small-capacity stomach with pyloric stricture. We planned to augment the stomach capacity by using a segment of transverse colon. After documentation of a normal colon by barium examination, a 15-cm segment of transverse colon was harvested based on middle colic artery. This vascularized patch of bowel was united with the stomach that was opened up by a longitudinal incision made along the body.
  
  
  RESULTS
  A barium study on the tenth postoperative day revealed a good capacity and contour of the stomach and free entry of Barium into the small intestine. The patient is tolerating a normal meal and has no vomiting. At 3 months follow-up, the patient had a normal stomach radiologically and endoscopically, with a weight gain of 7 kg.
  
  
  CONCLUSIONS
  Augmentation of corrosive gastric stricture by a segment of transverse colon is an innovative, practical, and useful procedure, although long-term results are awaited.
authors.affiliation: Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, 221005, India. anand_bhu@satyam.net.in
authors.forename: Anand
authors.initials: A
authors.lastname: Kumar
authors.forename: Mumtaz
authors.initials: M
authors.lastname: Ansari
authors.forename: Dinesh
authors.initials: D
authors.lastname: Shukla
authors.forename: Anuj Kumar
authors.initials: AK
authors.lastname: Tripathi
authors.forename: Rohit
authors.initials: R
authors.lastname: Shyam
mesh_terms: D000293:Adolescent; D001466:Barium Sulfate; D002057:Burns, Chemical / Q000601:surgery; D002424:Caustics / Q000009:adverse effects; D005260:Female; D015391:Gastroplasty; D006801:Humans; D011859:Radiography; D013270:Stomach / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*
chemical_list: D002424:Caustics; D001466:Barium Sulfate