ABSTRACT
Corrosive stricture of the oesophagus secondary to ingestion of caustic potash is a serious problem. 20 children who had swallowed corrosive substance were admitted to the surgical department after a period ranging from 1-10 months. 14 were males and 6 were females, with age ranging from 11/2 years to 7 years. All children were subjected to full clinical, laboratory and radiological, as well as endoscopical studies. The commonest level of stricture was found to be between D3- D5. Dilatation had been tried in all cases initially and continued so long the patient responded [10 cases]. Patients not responding to dilatation or had impassable stricture [10 cases] were subjected to colon by pass operation. Of these gastrostomy was performed in 8 cases to correct the marked loss of weight and malnutrition. Post-operative cervical fistula developed in 7 cases, of which two cases needed revision of the oesophagocelic anastomosis. The mortality was 3 out of ten cases operated upon. Despite the good results of the colon by pass, yet prevention of the accident remains better than cure
ABSTRACT
Gastric duplications are quite rare. They may occur in any part of the stomach, commonly arise from the greater curvature. 110 cases have reported in the English literature. On the other hand 7 of these duplications have been reported in the pyloric region. In this paper we report 3 cases of gastric duplication. In 2 cases the duplication arose from the greater curvature and in one case it arose from the pyloric region causing gastric outlet obstruction. Gastric duplication usually presents with a palpable mass and/ or vomiting. Vomiting from duplication in the pyloric region may simulate congenital hypertrophic pyloric stenosis. Surgical treatment is either by total excision with partial gastrectomy or by excision of the dome of the duplication cyst and stripping of the remaining mucosa from the remaining common wall