Surgical management and outcomes of severe gastrointestinal injuries due to corrosive ingestion

Table 1 Surgical procedures carried out for severe corrosive injuries

Patient	Organs injured	Surgery done	Mortality	Subsequent surgery	Result
1	Esophagus, stomach, spleen	Esophagogastrectomy with splenectomy	No	Colon pull-up	Successful
2	Esophagus, stomach, duodenum	Esophagogastrectomy with duodenectomy	No	Colon pull-up	Successful
3	Esophagus, stomach, duodenum	Esophagogastrectomy with duodenectomy	No	Colon pull-up	Successful
4	Esophagus, stomach	Esophagogastrectomy	No	Colon pull-up (failed)	Failed
5	Esophagus, stomach	Esophagogastrectomy	No	Colon pull-up	Successful
6	Esophagus, stomach	Esophagogastrectomy	No	Colon pull-up	Successful
7	Esophagus, stomach, duodenum, pancreas	Esophagogastrectomy with pancreaticoduodenectomy	Yes	No (mortality)	-
8	Esophagus, stomach	Esophagogastrectomy	No	No (mortality)	-
9	Esophagus, stomach, duodenum	Esophagogastrectomy with duodenectomy	No	Colon pull-up	Successful
10	Esophagus, stomach, duodenum	Esophagogastrectomy with duodenectomy	Yes	No (mortality)	-
11	Esophagus, stomach	Esophagogastrectomy	No	Colon pull-up	Successful
12	Esophagus, stomach	Esophagogastrectomy	No	Colon pull-up	Successful
13	Stomach, duodenum	Distal gastrectomy with duodenectomy and ampullojejunostomy	No	Gastrojejunostomy	Successful

Table 2 Factors predicting mortality following severe corrosive injuries

Factor	No mortality	Mortality	P value
Interval between corrosive ingestion and surgery
Less than 24 h	10	0	0.005
More than 24 h	1	2
Metabolic acidosis at initial presentation
No	9	0	0.021
Yes	2	2
Renal failure at initial presentation
No	11	0	0.000
Yes	0	2
Associated organ injury
No splenic injury	10	2	0.657
Splenic injury	1	0
No duodenal injury	7	0	0.097
Duodenal injury	4	2
No pancreatic injury	11	1	0.015
Pancreatic injury	0	1

χ² test used for categorical data using SPSS version 17.