Gastric stricture following corrosive agent ingestion: A case report

INTRODUCTION: Gastric stricture due to corrosive ingestion is a rare cause of obstruction in the uppergastrointestinal tract in children. However, only a few reports highlight the management of the stricture ofthe gastric antrum and pylorus, i.e. gastric outlet obstruction (GOO) due to corrosive ingestion, particularlyin children.PRESENTATION OF CASE: We report a 1-year-old male who presented with chief complaints of upperabdominal pain and profuse vomiting after accidentally ingesting sulfuric acid one month prior. On physi-cal examination, minimal epigastric distension was found. Endoscopic examination showed oesophagitis,erosive gastritis, multiple gastric ulcers and suspicion of pyloric stricture. We decided to perform anexploratory laparotomy and found severe strictures from the major curvature to the gastric pylorus. Sub-sequently, we conducted gastrojejunostomy and Braun anastomosis. The patient was discharged on theeighth postoperative day uneventfully.DISCUSSION: Endoscopy is a reliable technique for assessing upper digestive tract mucous membranesafter caustic agent ingestion because it helps in making a definitive diagnosis, especially to define theanatomic location and injury severity. The timing and type of surgery for GOO is controversial. We per-formed Braun anastomosis in addition to gastrojejunostomy because of several advantages over othersurgical methods.CONCLUSION: We recommend choosing an appropriate supporting examination to precisely diagnose gas-tric stricture due to corrosive ingestion. Gastojejunostomy and Braun anastomosis show a good outcomefor gastric stricture due to corrosive ingestion, particularly in children.