RESUMEN
Ingestion of corrosives with accidental or suicidal intent is a common problem in Sri Lanka. Management options and outcomes of corrosive injuries on stomach are not well documented in our setting. The clinical presentation, complications and management outcomes of nine patients with corrosive injury to stomach are presented. Gastric outlet obstruction seen in majority, was managed with bypass procedure (n=5) or resection (n=4). The outcomes of management were successful with both methods.
Asunto(s)
Quemaduras Químicas/cirugía , Cáusticos/toxicidad , Obstrucción de la Salida Gástrica/cirugía , Estómago/lesiones , Ácido Acético/toxicidad , Adolescente , Adulto , Quemaduras Químicas/complicaciones , Estudios de Cohortes , Ingestión de Alimentos , Femenino , Gastrectomía , Derivación Gástrica , Obstrucción de la Salida Gástrica/etiología , Humanos , Masculino , Ácido Nítrico/toxicidad , Estudios Retrospectivos , Sri Lanka , Estómago/cirugía , Gastropatías/etiología , Gastropatías/cirugía , Ácidos Sulfúricos/toxicidad , Adulto JovenRESUMEN
A retrospective comparative study was done to compare the outcome of intermittent Pringle manoeuvre (IPM) and selective hepatic vascular exclusion (SHVE) in 19 major hepatectomies in non-cirrhotic patients that were done from October 2003 to June 2009. Intra-operative blood loss (IBL), total operative time (TOT) and immediate outcome were assessed in the two groups. Thirteen underwent IPM and the others underwent SHVE. The mean age was 50 years (SHVE) and 39.2 years (IPM). Mean IBL was 641 ml and 802 ml in the SHVE and IPM groups respectively (p > .05). TOT was 4.7 hours in both groups. There was one mortality from myocardial infarction in the IPM group and no morbidities in both groups. The results obtained from this study shows that IPM is equivalent to SHVE, with regards to IBL, TOT and immediate outcome in major hepatectomies in non-cirrhotic patients.