Acid corrosive injury of stomach: management and long-term outcome


  • Mohit Sharma Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, India
  • Rachhpal Singh Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, India



Corrosive ingestion, Gastric stricture, Gastric outlet obstruction, Gastrectomy


Background: Acid corrosive injury to stomach is not uncommon in India due to easy availability. Corrosive ingestion results in significant morbidity. We present our experience in surgical management of such cases. The aims and objectives of this study to review the experience of surgical management of gastric corrosive injury and to assess long term outcome and functional results.

Methods: This study was retrospective analysis of prospectively collected data of 23 cases of acid corrosive injury managed in a single surgical unit.

Results: Median age was 31 years, male to female ratio was 12:11. Surgical procedures were tailored according to extent and degree of stricture. Posterior gastrojejunostomy was done in 8 (38.0%) cases, near total gastrectomy in 3 (14.3%) cases, total gastrectomy and Billroth I in 2 (9.5%) cases each. 4 cases were lost to follow up after preliminary feeding jejunostomy. 2 cases had mortality after feeding jejunostomy. 2 cases were managed successfully without active surgical intervention. All patients undergoing definitive procedure had good results in terms of nutritional status and symptoms of gastric outlet obstruction.

Conclusions: The outcome of gastric stricture secondary to acid ingestion can be significantly improved by adequate preoperative preparation and planned approach depending upon type of injury.


Author Biography

Mohit Sharma, Department of Surgery, Sri Guru Ram Das Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab, India

Associate Professor

Department of surgery


Ananthakrishnan N, Parthasarthy G, Kate V. Chronic corrosive injuries of the stomach- a single unit experience of 109 patients over thirty years. World J Surg. 2010;34:758-64.

Ramasamy K, Gumaste VV. Corrosive ingestion in adults. J Clin Gastroenteol. 2003;37:119-24.

Zargar SA, Kochhar R, Nagi B. Ingestion of corrosive acids. Spectrum of injury to upper gastrointestinal tract and natural history. Gastroenterology. 1989;97:7020707.

Ananthakrishnan N, Parthasarthy G, Kate V. Acute corrosive injuries of the stomach: A single unit experience of thirty years. ISRN Gastroenterol. 2011;2011:914013.

Kalayarasan R, Ananthakrishnan N, Kate V. Corrosive ingestion. Indian J Crit Care Med. 2019;23:282-6.

Tohda G, Sugawa C, Gayer C, Chino A, Guire TW, Lucas CE. Clinical evaluation and management of caustic injury in upper gastrointestinal tract in 95 adult patients in urban medical centre. Surg Endosc. 2008;22:1119-25.

McAuley CE, Steed DL, Webster MW. Late sequelae of gastric acid injury. American J Surg. 1985;149:412-5.

Kamijo Y, Kondo I, Watanebe M, Kano T, Ide A, Soma K. Gastric stenosis in severe corrosive gastritis, prognostic evaluation by endoscopic ultrasonography. Clinical Toxicology (Phila). 2007;45:284-6.

Feng J, Gu W, Li M, Yuan J, Weng Y, Wei M, et al. Rare cause of gastric outlet obstruction in children. Pediatric Surg Int. 2005;21:635-40.

Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Surgical management of corrosive stricture of stomach. Indian J Gastroenterol. 2004;23:178-80.

Chaudhary A, Puri AS, Dhar P, Reddy P, Sachdeva A, Lahoti D, et al. Elective surgery for corrosive induced gastric injury. World J Surg. 1996;20:703-6.

Chung PH, Chih YC, Nan YH, Jiun YH. Surgical treatment and its long-term results for caustic induced prepyloric obstruction. Eur J Surg. 1997;163:275-9.

Tseng YL, Wu MH, Lin MY, Lai WW. Early surgical correction for isolated gastric stricture following acid corrosion injury. Dig Surg. 2002;19(4):276-80.

Hwang TL, Chen MF. Surgical treatment of gastric outlet obstruction after corrosive injury can early definitive operation be used instead off staged operation. Int Surg. 1996;81:119-21.

Zamir O, Hod G, Lernau OZ, Mogle P, Nissan S. Corrosive injury to the stomach due to acid ingestion. Am J Surg. 1985;51:170-2.

Ti TK. Oesophageal carcinoma associated with corrosive injury-prevention and treatment by oesophageal resection. Br J Surg. 1983;70(4):223-5.

Hsu C, Chen C, Hsu N, Hsia J. Surgical treatment and its long-term result for caustic induced prepyloric obstruction. Eur J Surg. 1997;163:275-9.






Original Research Articles