Brown R A, Millar A J W, Numanoglu A, Rode H
Department of Paediatric Surgery, Red Cross War Memorial Children's Hospital and the University of Cape Town, Observatory, South Africa.
Pediatr Surg Int. 2002 May;18(4):252-4. doi: 10.1007/s003830100664.
Accidental corrosive ingestion by children can result in damage to the oesophagus and stomach. With progressive scarring and fibrosis luminal obstruction occurs. Gastric fibrosis typically results from acid ingestion and occurs in the antrum because of pooling of the corrosive agents at that site. The antral stricture presents with symptoms of progressive outlet obstruction that may take up to 3 years to become clinically apparent. Surgery is necessary to bypass this obstruction. We describe three patients in whom we have successfully utilised a Y-V advancement antro-pyloroplasty as corrective surgery for corrosive antral strictures. The procedures required little dissection and two could be done early in the evolution of the stricture. Antro-duodenal patency was maintained on follow-up.
儿童意外摄入腐蚀性物质可导致食管和胃损伤。随着瘢痕形成和纤维化的进展，会出现管腔梗阻。胃纤维化通常由摄入酸性物质引起，由于腐蚀性物质在胃窦部积聚，故胃纤维化多发生于胃窦部。胃窦部狭窄表现为进行性出口梗阻症状，可能需要长达3年才会在临床上显现出来。手术是绕过这种梗阻所必需的。我们描述了3例患者，我们成功地采用Y-V推进式胃窦-幽门成形术作为腐蚀性胃窦部狭窄的矫正手术。这些手术所需的解剖操作很少，其中2例可在狭窄发展早期进行。随访时保持了胃窦-十二指肠通畅。
