Isolated XXXX due to corrosive ingestion.

@entity1 @entity1819 @entity391 @entity1084 @entity158 @entity356
OBJECTIVES: To analyze the diagnostic and therapeutic aspects of isolated @entity1084 secondary to corrosive ingestion. @entity1 AND METHODS: Retrospective chart review of eight @entity1 who developed @entity356 following corrosive ingestion and were treated in the Digestive and General Surgery Service of Yopougon Teaching Hospital in Abidjan from 1991 to 2009. RESULTS: Six @entity1 and two @entity1 (mean age of 34.3 [range 21 to 48 years]) had isolated @entity1084 following accidental (n=2) or suicidal (n=6) acid ingestion. Two @entity1 sought hospital medical attention two days after ingestion, whereas six @entity1 came to hospital with a mean delay of 60.8 days (range 12 and 96 days). @entity1 sought medical attention for poor general status (n=6), postprandial @entity391 (n=4), early satiety (n=2) and @entity158 (n=2). Two @entity1 , who presented early to hospital, underwent upper gastrointestinal tract endoscopy the day after admission and then received a feeding jejunostomy whereas the esogastroduodenal barium swallow and feeding jejunostomy were performed after a mean delay of 2 days (range 1 and 3 days) and 3 days (range 1 and 5 days), respectively. The findings at upper endoscopy and barium swallow were: microgastria (n=2), midgastric stricture (n=1), antropyloric stricture (n=4) and gastric body stricture (n=1). One @entity1 died preoperatively as the result of severe nutritional depletion. A follow-up endoscopy and barium swallow were performed respectively 21 and 35 days later. Definitive surgery was performed after a mean delay of 85 days (range 74 to 123 days) in the remaining seven @entity1 . @entity1819 were managed by total gastrectomy with Roux-en-Y esophagojejunostomy (n=2), partial gastrectomy with gastrojejunostomy (n=2) or simple gastrojejunostomy (n=3). During the mean follow-up period of 4 years (range 1 to 7 years), all @entity1 were free of symptoms. CONCLUSION: Isolated corrosive @entity356 is relatively rare. Surgery tailored according to the extent of @entity356 provides excellent results.
