انسداد مخرج المعدة المكتسب عند الأطفال

الملخص EN

Objective : this study reports the etiologies, management and outcome of children with gastric outlet obstruction (GOO) in Damascus pediatrics hospital.

Methods : retrograde study was conducted in Damascus pediatrics hospital, on the medical records of 20 patients who were admitted to hospital between January 2008 and December 2015 with acquired gastric outlet obstruction not associated with idiopathic hypertrophic pyloric stenosis (IHPS), with minimum period of follow up 6 months.

They were categorized into: group of GOO cases caused by complication of using non-steroidal anti-inflammatory drugs (NSAIDS) (group 1), group of GOO cases caused by caustic ingestion (group 2), and group of GOO cases caused by anatomic abnormality (group 3).

Results : twelve cases belonged to the group 1 (60% of all patients), mean age was 27 months with a male to female ratio of seven to five.

The etiology of GOO in this group was complication of using NSAIDS in therapeutic dose except one case, which was caused by over dose of NSAIDS.

All patients underwent surgery; we followed them after surgery without complication.

Six cases belonged to the group 2 (30%), mean age was 30.3 months with a male to female ratio of four to two.

The etiology of GOO in this group was the complications of caustic ingestion without esophageal injury, four cases were caused by acid ingestion (3 males, 1 female) and two cases caused by alkali ingestion (female and male).

All patients underwent surgery; we followed them 6 months without complications.

Two cases belonged to the group 3 (10%), first case was 11 years old female with gastric polyp, second case was 2 years old female with acute gastric volvulus.

Both patients underwent surgery, we followed them 6 months without complications.

Conclusions : in this study, the complications of using NSAIDS in therapeutic dose were the most common reason of GOO in children, the second reason was caustic ingestion and the acid ingestion is more dangerous than alkali ingestion as the etiology for GOO, third reason was anatomic abnormality.