The safety and efficacy of the trans-umbilical approach for pyloroplasty in the management of post-acid corrosive gastric outlet obstruction in children

Abstract Background Gastric outlet obstruction (GOO) may follow acid corrosive ingestion. Several surgical techniques have been reported after the failure of endoscopic dilatation. The aim this study was to evaluate feasibility and safety Heinecke-Mikulicz pyloroplasty (HMP) through a circum-umbilical skin incision in children with pyloric stricture accidental Results Seven patients were males 4 females, their ages ranged from 17 months 6 years at time definitive treatment. surgery completed successfully all incision. Vertical extension needed one patient. pylorus grossly affected 9 patients. Both gastric antrum involved 2 Nine had an excellent postoperative course cessation vomiting progressive weight gain. One patient developed recurrent treated by gastrojejunostomy. Another associated esophageal responded repeated dilatation for stricture. No site infection or wound dehiscence occurred any Conclusion approach is both feasible safe majority post-acid GOO. It satisfactory healing cosmetic outcome. Different are recommended cases severe significant proximal antral scarring.