Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Online ISSN : 1882-5133
Print ISSN : 1345-2843
ISSN-L : 1345-2843
Case Reports
A case of gastric corrosive stricture due to ingestion of strong acid detergent treated by bypass operation
Yusuke SUWA, Sadatoshi SUGAE, Shunichi OSADA, Seiji HASEGAWA, Yoshiro OBI, Tetsuo ABE
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2013 Volume 74 Issue 4 Pages 921-924

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Abstract
A 56-year-old man, suffering from alcohol dependence and depression, ingested some strong acid detergent in a suicide attempt. He was diagnosed with gastric perforation, While he got through the acute period with conservative treatment, he recovered and was discharged on the 56th day after the incident. But he was re-admitted on the 120th day after the incident because of corrosive stricture in the middle part and the pylorus of the stomach. Although balloon dilation was performed 13 times, the gastric stricture was not improved. He had surgical treatment on the 306th day after the incident. Because it was impossible to perform a gastrectomy due to severe adhesion, gastro-jejunostomy in the upper part of gastric body was performed. The postoperative course was uneventful and he was discharged on the 14th postoperative day. Surgical treatment should be used for gastric corrosive stricture due to acid detergent.
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© 2013 Japan Surgical Association
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