硫酸により高度萎縮をきたした腐食性胃炎の１例

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  • A Total Gastrectomy for Severe Atrophy Following Corrosive Gastritis due to Ingestion of Sulfuric Acid.

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A 55-year-old man was brought into the hospital because of abdominal pain due to ingestion of sulfuric acid for suicidal mean. Corrosive gastritis was diagnosed and the patient was conservatively treated. The symptoms were relieved by medical treatment and the patient was discharged from the hospital. Two months after acid ingestion, however, vomiting occurred frequently and the patient was re-admitted. Endoscopy and barium studies revealed severe mucosal erosion and stenosis at the upper body of the stomach. Thus, we performed a total gastrectomy. Specimen showed severe atrophy and thickening of the wall. On histological examination, fibrosis of the submucosal layer was remarkable. Postoperative course was uneventful, and the patient is doing well as of 3 years and 7 months. Gastrectomy is often necessary when severe scarring and fibrosis causes gastric outlet obstruction. Long -term follow-up of a patient who has taken corrosives is necessary.

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