Acute gastric necrosis due to ingestion of hydrochloric acid

The paper refers to a case of acute gastric necrosis due to the ingestion of hydrochloric acid. There is an acute stage dominated by collapse, respiratory' insufficiency,acidosis and faringo-esophago-gastric burns; a subacute stage of gastric necrosis with perforation and pe...

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Главный автор: Mañana, Julio (author)
Другие авторы: Zito, Eduardo (author), Llard, Washington (author), Pereira, César (author), Kalechsztajn, Jaime (author)
Формат: article
Язык:испанский
Опубликовано: 2021
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Online-ссылка:https://revista.scu.org.uy/index.php/cir_urug/article/view/2091
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Итог:The paper refers to a case of acute gastric necrosis due to the ingestion of hydrochloric acid. There is an acute stage dominated by collapse, respiratory' insufficiency,acidosis and faringo-esophago-gastric burns; a subacute stage of gastric necrosis with perforation and peritonitis. At this stage we performed an atypical segmentarygastrectomy, and we made a gastric · tube. The treatment was ,completed by a degravitational gastrostomy and a transgástric duodenostomy for feeding. There was an intermediate stage characterized by digestive fistulas, digestive hemorraghes and a deep metabolic perturbation. Our patient is still in this stage, which may last for many years,and in which there is always the danger of a cicatrical stenosis; should this happen, we would have to resort to a plastic procedure.