Acid corrosive injury in patients with a history of partial gastrectomy: outcome analysis.
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.
Chang
Jia-Ming
JM
Division of Thoracic Surgery, Department of Surgery, Medical College, National Cheng Kung University, Tainan, Taiwan.
Wu
Ming-Ho
MH
Lai
Wu-Wei
WW
Lin
Mu-Yen
MY
Tsai
Yueh-Feng
YF
Hsu
I-Ling
IL
Yen
Yi-Ting
YT
Tseng
Yau-Lin
YL
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
D002424:Caustics