Ceylan Haluk, Ozokutan Bülent Hayri, Gündüz Filiz, Gözen Ahmet
Department of Pediatric Surgery, Faculty of Medicine, University of Gaziantep, 27310, Gaziantep, Turkey.
Pediatr Surg Int. 2011 Jun;27(6):649-53. doi: 10.1007/s00383-010-2739-6. Epub 2010 Oct 10.
To describe a series of children with gastric perforation (GP) after corrosive ingestion.
Case notes of children treated for GP complicating corrosive ingestion between May 2001 and April 2010 were retrospectively reviewed.
Seventy-six children with corrosive ingestion were treated during the study period of which 5 (6.6%) developed GP. This complication was evident on admission in one case and developed within 48 h in the others. The major clinical findings were abdominal pain, tenderness, and distension with radiologic evidence of pneumoperitoneum. Associated pathology included necrosis of the abdominal esophagus in one case and duodenal perforation in another. Two cases have died during surgery while three survived with free of complications related to GP repair. Two patients developed gastric outlet obstruction (one with an esophageal stricture) on follow-up.
GP is a rare but major complication of corrosive ingestion. Children who swallow corrosives should be closely monitored and pediatric surgeons should be aware of this potential early complication. The possibility of associated pathology should be considered when undertaking surgical repair.
描述一系列腐蚀性物质摄入后发生胃穿孔（GP）的儿童病例。
对2001年5月至2010年4月期间因腐蚀性物质摄入并发胃穿孔而接受治疗的儿童病历进行回顾性分析。
在研究期间，共有76例腐蚀性物质摄入的儿童接受治疗，其中5例（6.6%）发生了胃穿孔。1例在入院时即出现该并发症，其他4例在48小时内出现。主要临床症状为腹痛、压痛和腹胀，影像学检查有气腹表现。相关病理改变包括1例腹部食管坏死和1例十二指肠穿孔。2例在手术过程中死亡，3例存活，且未出现与胃穿孔修复相关的并发症。2例患者在随访中出现胃出口梗阻（其中1例伴有食管狭窄）。
胃穿孔是腐蚀性物质摄入后罕见但严重的并发症。吞食腐蚀性物质的儿童应密切监测，小儿外科医生应意识到这种潜在的早期并发症。在进行手术修复时应考虑存在相关病理改变的可能性。
