GASTROJEJUNOSTOMY

AN EFFECTIVE SURGICAL OPTION TO MANAGE CORROSIVE INDUCED GASTRIC OUTLET OBSTRUCTION

Abstract

Objectives: To assess the efficacy of early Gastrojejunostomy to manage
corrosive induced gastric outlet obstruction. Study Design: Prospective, Descriptive, &
Interventional. Study Period: February 2011 to April, 2015 Setting: Surgical Department Aziz
Bhatti Shaheed Teaching Hospital Gujrat. Material & Methods: Data of 21 patients presenting
with corrosive induced gastric outlet obstruction during the study period were analysed
with reference to effectiveness of early gastrojejunostomy in symptomatic improvement
and nutritional outcome. Results: Total of 21 patients with corrosive induced gastric outlet
obstruction were managed during the study period. Only 02 patients were male and 19 (90.47%)
were female. Mean age was 19.06 years. House hold toilet cleaner was the only corrosive used
in all cases. Suicidal intention was the commonest intention, only one patient was known case
of some psychological illness. Gastrojejunostomy proved to be an effective option in relieving.
Conclusion: Early gastrojejunostomy (within 6-8 weeks of corrosive ingestion) is an effective
surgical procedure to achieve good symptomatic and nutritional outcome in corrosive induced
gastric outlet obstruction.