Akademik Veri Yönetim Sistemi
24th EUPSA CONGRESS, İzmir, Türkiye, 7 - 10 Temmuz 2023, ss.1
Abstract
Aim of the study: Inges on of corrosive substances in children is important medical problem and di cult
to manage. Complica ons may occur due to corrosive inges on; those should be followed throughout
life and a ect the quality of life. The most important long term problem is the forma on stricture.
Although stricture o en develops in the esophagus, stenosis may also develop in the pylorus. In this
study, it was aimed to present the management of a pa ent who developed isolated pyloric stenosis
due to corrosive substance ineges on.
Case descrip on: A ten year old male pa ent was admi ed to the emergency department due to
corrosive substant inges on. The child was observed and discharged on the 3rd day of hospitaliza on.
Since oral mucosa and orophaarynx was damaged endoscopy was not performed to avoid further injury.
The contrast study revealed normal esophageal lumen with slow gastric emptying. Endoscopic
examina on revealed stricture forma on at the pylorus. It was decided to perform laparoscopic
gastroduodenostomy. A er suspending sutures were placed proximal to the pylorus and to anterior wall
of duodenum. The stomach lumen was opened horizontally, and duodenum lumen was opened
ver cally. Diamond shape anastomosis was performed. Contrast study on the h postopera ve day
was normal. The child has been fed and discharged on the postopera ve 8th day. Six months of follow
up period was uneven ul.
Conclusions: Laparoscopic gastroduodenostomy allows early enteral feeding without dumping
symptoms in addi on to the general advantages of minimally invasive surgery. Therefore, it may be
preferred as a safe method in pyloric stenosis due to corrosive inges on.