Endoscopic balloon dilatation in caustic-induced gastric outlet obstruction: case report

Authors

  • Sergio Morales-Moreno Department of Gastrointestinal Endoscopy, Bicentennial Independence High Specialty Regional Hospital, ISSSTE, State of Mexico, Mexico
  • Fernando Rivero-Yañez Department of Gastrointestinal Endoscopy, Bicentennial Independence High Specialty Regional Hospital, ISSSTE, State of Mexico, Mexico
  • Yoeli Marisa Escandon Espinosa Department of Gastrointestinal Endoscopy, Bicentennial Independence High Specialty Regional Hospital, ISSSTE, State of Mexico, Mexico
  • Katia Daniela López García Department of Gastrointestinal Endoscopy, Bicentennial Independence High Specialty Regional Hospital, ISSSTE, State of Mexico, Mexico
  • Carlos García-Arredondo Department of Gastrointestinal Endoscopy, Bicentennial Independence High Specialty Regional Hospital, ISSSTE, State of Mexico, Mexico
  • Ana Lilia Abundez-Pliego Department of Surgery, PEMEX General Hospital, Ciudad del Carmen, Mexico
  • Alan Isaac Valderrama-Treviño Department of Angiology, Vascular and Endovascular Surgery, HGM, Dr. Eduardo Liceaga, CDMX, Mexico

DOI:

https://doi.org/10.18203/2320-6012.ijrms20220527

Keywords:

Caustic ingestion, Caustic-induced gastric outlet obstruction, Endoscopy, Endoscopic balloon dilatation, Acid injuries, Alkali injuries

Abstract

The ingestion of caustic substances is a not infrequent problem that requires multidisciplinary, medical, surgical and endoscopic management, since it can cause minor burns to total necrosis of the digestive tract wall. A 76 years old male patient with a history of chronic alcoholism presented to the emergency department complaining of heartburn and abdominal pain after ingesting muriatic acid, accidentally mistaking it for alcohol. Computed tomography (CT) scan showed no signs of perforation and endoscopy revealed grade IIIB stomach burns. On day 45 a new endoscopy was performed, documenting fibrosis scars in the antrum with significant retraction and secondary pyloric stenosis, which was managed with endoscopic balloon dilatation (EBD) without complications. In this case, as in most patients with caustic-induced gastric outlet obstruction (GOO) can be successfully treated by EBD.

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Published

2022-02-25

How to Cite

Morales-Moreno, S., Rivero-Yañez, F., Escandon Espinosa, Y. M., López García, K. D., García-Arredondo, C., Abundez-Pliego, A. L., & Valderrama-Treviño, A. I. (2022). Endoscopic balloon dilatation in caustic-induced gastric outlet obstruction: case report. International Journal of Research in Medical Sciences, 10(3), 731–735. https://doi.org/10.18203/2320-6012.ijrms20220527

Issue

Section

Case Reports