2009 Volume 70 Issue 5 Pages 1341-1346
A male patient in his late 70s, while under the influence of alcohol, accidentally drank an acid detergent. Ten days later, he was admitted due to epigastric pain and hematemesis. Gastrointestinal endoscopy revealed a hemorrhage from an ulcer located in the posterior wall of the superior gastric body. Hemostasis was performed. The patient was admitted. Endoscopy done one day postadmission showed a circumferential erosion extending from immediately below the cardia to the inferior gastric body. However, there was no mucosal injury of the esophagus pylorus. The patient had a cicatricial stenosis involving the cardiac region and gastric body, which prevented oral ingestion. Total gastrectomy and R-Y reconstruction were performed 43 days postadmission. During surgery, the findings were suggestive of corrosive gastritis with marked fibrosis of the submucosal layer. This type of gastritis is associated with ingestion of tissue-damaging drugs such as acid/alkaline agents of varying grades. Commonly, corrosive esophagitis develops concomitantly. Cicatricial stenosis is frequently found in the pyloric region. Stenosis involving the cardiac region and gastric body without organic esophageal and pyloric changes, as found in this case, is rare.