title: Acid corrosive injury in patients with a history of partial gastrectomy: outcome analysis.
abstract: BACKGROUND
  Our purpose was to delineate the characteristics and outcome of acid-corrosive injury in patients with a history of gastric resection.
  
  
  METHODS
  A total of 359 patients with a history of acid-corrosive injury were retrospectively reviewed. They were grouped based on past history with group 1 consisting of 8 patients with a history of gastric surgery (6 hemigastrectomies with Billroth II gastrojejunostomy, 2 partial gastrectomies with Billroth I gastroduodenostomy) and group 2 consisting of 351 patients without a history of previous gastric surgery. Clinical data, operative findings, treatment modalities and prognoses were compared.
  
  
  RESULTS
  Group 1 patients required significantly more emergency surgical interventions (p=0.016) and more frequent resection of alimentary necrosis (p=0.007). In the operative findings of those undergoing emergency laparotomy, group 1 had a slightly higher incidence of total gastric necrosis with or without perforation (p=0.388), and a higher incidence of jejunal resection (p=0.001). However, group 1 patients had a relatively lower operative mortality rate compared to group 2 patients (p=0.640).
  
  
  CONCLUSIONS
  Acid-injured patients with a history of previous gastric surgery tended to have a higher incidence of mandatory emergency surgical exploration and resection of the alimentary tract. With early and prompt management, a good survival rate can still be anticipated.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Medical College, National Cheng Kung University, Tainan, Taiwan.
authors.forename: Jia-Ming
authors.initials: JM
authors.lastname: Chang
authors.forename: Ming-Ho
authors.initials: MH
authors.lastname: Wu
authors.forename: Wu-Wei
authors.initials: WW
authors.lastname: Lai
authors.forename: Mu-Yen
authors.initials: MY
authors.lastname: Lin
authors.forename: Yueh-Feng
authors.initials: YF
authors.lastname: Tsai
authors.forename: I-Ling
authors.initials: IL
authors.lastname: Hsu
authors.forename: Yi-Ting
authors.initials: YT
authors.lastname: Yen
authors.forename: Yau-Lin
authors.initials: YL
authors.lastname: Tseng
mesh_terms: D000328:Adult; D002057:Burns, Chemical / Q000150:complications* / Q000601:surgery; D002424:Caustics / Q000633:toxicity*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D012189:Retrospective Studies; D013270:Stomach / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D002424:Caustics