Journal of Indian Association of Pediatric Surgeons最新文献

{"title":"Primary Nonrefluxing Megaureter: Does Ureter Diameter Really Matter?","authors":"Gül İlayda Sarar, Serdar Moralioğlu","doi":"10.4103/jiaps.jiaps_27_26","DOIUrl":"10.4103/jiaps.jiaps_27_26","url":null,"abstract":"<p><strong>Purpose: </strong>A ureter diameter exceeding 6 mm is termed megaureter. This study aimed to evaluate the clinical features of primary non-refluxing megaureter (PNMU) and the importance of ureteral diameter in its management.</p><p><strong>Methods: </strong>Clinical, radiological, and operative findings and long-term outcomes of PNMU followed or operated on between 2011 and 2023 were evaluated retrospectively. Patients with vesicoureteral reflux, a history of lower urinary tract pathology or surgery, and a follow-up <18 months were excluded.</p><p><strong>Results: </strong>Among 32 patients (12.5% female, 87.5% male), 50% were diagnosed prenatally. Twenty-six patients had unilateral, six had bilateral megaureters. Over a mean follow-up of 94.3 ± 53.4 months, 37.5% were managed conservatively, 62.5% required intervention. Nine underwent open surgery, 11 underwent double-J-stenting. Median operation age was comparable between surgical groups (<i>P</i> > 0.05) but significantly lower in patients with urinary tract infection (<i>P</i>: 0.007). Ureteral diameter decreased from 10.4 mm (range: 6.2-24.2) to 6.9 mm (range: 0-17) in conservatively managed cases, from 11 mm (range: 8-24.2) to 9 mm (range: 0-19) in double-J-stent group, and from 9.7 mm (range: 6.2-18.8) to 4.3 mm (range: 0-13) in the open surgery group (<i>P</i> > 0.05). No significant difference was observed among the peak measured ureter diameters in the conservatively managed group (median: 12 mm, range: 9-33), preoperative ureter diameters in the double-J-stent group (median: 12.5 mm, range: 8.8-17), and open surgery group (median: 14 mm, range: 8-31) (<i>P</i> > 0.05).</p><p><strong>Conclusion: </strong>Ureteral diameter has limited importance in PNMU management. Conservative management may be an option even in advanced dilatations. Postoperative ureteral dilatation may persist at varying levels and durations.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"839-843"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-stage Reconstruction in a Rare Case of Female Caudal Duplication Syndrome.","authors":"Nilesh Tank, Aroon Trivedi, Tharanendran Heera, Ramesh Babu","doi":"10.4103/jiaps.jiaps_31_26","DOIUrl":"10.4103/jiaps.jiaps_31_26","url":null,"abstract":"<p><p>Caudal duplication syndrome is exceptionally rare. We report a female infant with complex genitourinary and colorectal duplication managed by detailed imaging and single-stage definitive reconstruction. Excision of nonfunctional duplicated organs, transureteroureterostomy, bowel reconstruction, and perineal unification achieved good urinary, bowel, and cosmetic outcomes at short-term follow-up without significant complications.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"870-872"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Inflammatory Response and Recovery following Pediatric Pyeloplasty: A Comparative Study of Laparoscopic and Open Approaches.","authors":"Bhanumurthy Kaushik Marripati, Qumaruzzama Ansari, Arj Deo Upadhayay, Paresh Kulkarni, Shiv Prasad Sharma, Vaibhav Pandey","doi":"10.4103/jiaps.jiaps_66_26","DOIUrl":"10.4103/jiaps.jiaps_66_26","url":null,"abstract":"<p><strong>Background: </strong>Pelviureteric junction obstruction (PUJO) is a leading cause of pediatric hydronephrosis. Open pyeloplasty (OP) remains the standard treatment, but laparoscopic pyeloplasty (LP) is increasingly adopted. Comparative pediatric data on inflammatory and perioperative outcomes remain limited.</p><p><strong>Objective: </strong>To compare perioperative outcomes, inflammatory responses, and recovery profiles between OP and LP in children with PUJO.</p><p><strong>Materials and methods: </strong>We conducted a prospective, nonrandomized, comparative study (December 2017-June 2025) including pediatric patients undergoing pyeloplasty. Patients were allocated to OP or LP based on surgical unit assignment, with family preference considered. All eligible families were counseled about both surgical options. A closed-suction drain was placed in all patients (retroperitoneal in OP and intraperitoneal in LP). Exclusion criteria included additional urinary tract anomalies, recurrent PUJO, vesicoureteral reflux, conversion to open surgery, and <1-year follow-up. Perioperative data, postoperative complications, and recovery metrics were recorded. Interleukin-6 (IL-6), IL-10, and lactate were measured at baseline, intraoperatively, immediately postoperatively, and at 48 h. Outcomes were compared using standard statistical tests, with <i>P</i> ≤ 0.05 considered significant.</p><p><strong>Results: </strong>Of 118 patients, 106 completed analysis (OP: 56, LP: 50). Age ranged from 6 months to 14 years (OP: 6.2 ± 2.8 years; LP: 6.5 ± 2.7 years). No anastomotic leaks or urinary extravasation occurred in either group. Baseline demographics were comparable. LP had longer operative times (136 ± 18 vs. 102 ± 14 min, <i>P</i> < 0.001) but reduced analgesic requirements and shorter analgesic duration (<i>P</i> < 0.001). Nonsteroidal anti-inflammatory drug use was required only in OP (14%, <i>P</i> = 0.005). OP showed higher incidence of flank bulges and longer IV fluid support (<i>P</i> = 0.005). Cytokine analysis revealed an early IL-6 surge in LP, attributed to pneumoperitoneum, but OP demonstrated higher IL-6 and IL-10 at 48 h, indicating sustained inflammation. Lactate elevations were transient and comparable. Renal functional outcomes were equivalent at 1 year.</p><p><strong>Conclusions: </strong>LP offers comparable success with several perioperative benefits, including reduced pain, fewer wound-related complications, and attenuated late inflammatory response, particularly in experienced hands with adequate laparoscopic infrastructure, supporting its role as an effective alternative to OP in children.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"739-745"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic Wilms Tumor Nephrectomy and Lymph Node Sampling: Oncotechnical Considerations.","authors":"Nitin James Peters, B Sashikiran, Ravi Prakash Kanojia, Muneer Abas Malik, Indu Mohini Sen, Shailesh Solanki, Monika Bawa, Jai Kumar Mahajan, Deepak Bansal","doi":"10.4103/jiaps.jiaps_61_26","DOIUrl":"10.4103/jiaps.jiaps_61_26","url":null,"abstract":"<p><p>Wilms tumor (WT) is the most prevalent pediatric renal malignancy, with surgical intervention being a cornerstone of multimodal management. This report evaluates the surgical feasibility, oncotechnical considerations, and short-term outcomes of laparoscopic WT nephrectomy (LWTN) in 17 children following neoadjuvant chemotherapy (NACT). LWTN was successfully completed in 47.1% (8/17) of cases, with conversions primarily necessitated by intraoperative bleeding, efforts to prevent tumor rupture, and strict adherence to oncological principles. The primary advantages observed with LWTN versus laparoscopic converted to open surgery were reduced blood loss (median 20 ml vs. 40 ml, <i>P</i> = 0.014), shorter hospitalization duration (3.13 vs. 4.11 days, <i>P</i> = 0.023), and lower postoperative pain scores (3.50 vs. 5.56, <i>P</i> = 0.001). Lymph node yields (mean: 9.75 vs. 15.44; adequate yield defined as >7 nodes) and tumor rupture rates were similar between groups, supporting the oncological safety of LWTN. Overall, LWTN represents a technically demanding approach that provides perioperative benefits in selected patients without compromising short-term oncological outcomes.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"844-848"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Salivary Cortisol as a Surrogate Marker of Stress Response in Children Undergoing Laparoscopic Surgery with Low-pressure versus Standard-pressure Pneumoperitoneum.","authors":"Nishant Agarwal, Ankur Mandelia, Preeti Dabadghao, Prabhaker Mishra, Basant Kumar, Vijai Datta Upadhyaya, Anju Verma, Rohit Kapoor, Pujana Kanneganti","doi":"10.4103/jiaps.jiaps_54_26","DOIUrl":"10.4103/jiaps.jiaps_54_26","url":null,"abstract":"<p><strong>Purpose: </strong>Salivary cortisol is a validated, non-invasive biomarker of hypothalamic-pituitary-adrenal axis activity and surgical stress. Evidence on perioperative cortisol kinetics in children undergoing laparoscopic surgery is limited. This study evaluated temporal salivary cortisol trends and compared stress responses between low- and standard-pressure pneumoperitoneum (PP) in children undergoing laparoscopic surgery.</p><p><strong>Methods: </strong>In this prospective randomized trial, 101 children scheduled for laparoscopic surgery were allocated to low-pressure PP (6-8 mmHg) or standard-pressure PP (9-11 mmHg) using block randomization. Salivary cortisol was measured preoperatively and at 6, 12, 24, 48, and 72 h postoperatively using enzyme-linked immunosorbent assay. Hemodynamic and respiratory parameters, pain scores, time to resume feeding, and hospital stay were recorded and analyzed.</p><p><strong>Results: </strong>Ninety-three children completed the study (low-pressure: <i>n</i> = 47; standard-pressure: <i>n</i> = 46). Baseline cortisol levels were comparable (median: 5.94 vs. 4.96 nmol/L, <i>P</i> = 0.662). Across the cohort, cortisol showed a biphasic pattern: A rise peaking at 12 h, decline at 24 h, and secondary increase at 48 h, remaining above baseline at 72 h. No significant differences were observed between groups, though the low-pressure group had slightly higher cortisol at 12 h, and the standard-pressure group at 48 h. Hemodynamic and ventilatory parameters remained stable, and recovery outcomes - including pain, feed resumption, and hospital stay - were similar.</p><p><strong>Conclusion: </strong>Salivary cortisol is a reliable, noninvasive marker of perioperative stress in children undergoing laparoscopic surgery with a consistent postoperative trajectory. Within 6-11 mmHg, PP pressure did not influence stress response, intraoperative physiology, or short-term recovery.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"786-795"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double Threat in a Newborn: High Anorectal Malformation with Pouch Colon and Bilateral Multicystic Dysplastic Kidneys - A Rare Case Report.","authors":"Shweta Patil, Amit Kumar Sinha, Shreyas Dudhani, Nahil Najeeb","doi":"10.4103/jiaps.jiaps_421_25","DOIUrl":"10.4103/jiaps.jiaps_421_25","url":null,"abstract":"<p><p>The coexistence of bilateral multicystic dysplastic kidneys (MCDKs) and high anorectal malformation with pouch colon is exceptionally rare. The combination results in a nonsurvivable condition due to complete renal failure, posing complex diagnostic and management challenges. A full-term male neonate presented with absent anal opening, limb and auricular deformities, and progressive anuria since birth. Antenatal history was unavailable. Clinical examination revealed bilateral clubfoot and normal male genitalia. Laboratory evaluation showed steadily worsening renal function. Ultrasound demonstrated bilateral MCDK with multiple cysts and gross hydronephrosis. A high-divided sigmoid colostomy was performed, and intraoperatively, a Type IV pouch colon was identified. Despite supportive management, including percutaneous nephrostomy, no urine output was achieved. Given the confirmed diagnosis of bilateral nonfunctioning kidneys and poor prognosis, the family opted for termination of care and support. This case highlights the diagnostic and ethical challenges associated with managing rare, fatal congenital anomalies in neonates. Early antenatal detection, when available, may facilitate better parental counseling and decision-making.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"858-860"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Predictors of Parental Anxiety in Pediatric Surgery: An Observational Study.","authors":"Alok Kumar Sahoo, Akash Bihari Pati, Subrat Kumar Sahoo, Susanta Kumar Padhy, Bikram Kishore Behera","doi":"10.4103/jiaps.jiaps_460_25","DOIUrl":"10.4103/jiaps.jiaps_460_25","url":null,"abstract":"<p><strong>Aims: </strong>Parental anxiety is a common yet often under-addressed component for children undergoing surgery. It is not only distressing for the parents but also affects the perioperative outcomes of the patient. This study aims to determine the prevalence and identify the sociodemographic and clinical predictors of perioperative anxiety among Indian parents whose children were undergoing elective paediatric surgery.</p><p><strong>Methods: </strong>A prospective observational study was conducted involving 216 parents at a tertiary care hospital. Parental anxiety status was assessed using the Hamilton Anxiety Rating Scale (HAM-A) at admission and discharge, and the \"Amsterdam Pre-Operative Anxiety and Information Scale\" (APAIS) immediately before surgery. Associations with demographic, educational, socioeconomic, previous surgical exposure, and surgical variables were analyzed using descriptive statistics, correlation, and regression models.</p><p><strong>Results: </strong>Clinically significant preoperative anxiety (HAM-A ≥15 or APAIS ≥11) was observed in 56% of parents, and higher in mothers (67.3% vs. 56.9%, <i>P</i> = 0.002). Lower socioeconomic status and lack of prior surgical experience were associated with higher anxiety. Mothers reported significantly higher anxiety in all APAIS subdomains, including desire for information. Postoperative HAM-A scores showed a significant reduction (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Pre-operative anxiety is highly prevalent among Indian parents, particularly mothers and those with lower socioeconomic and educational backgrounds. Structured counseling and information support integrated into perioperative care are essential to reduce anxiety and improve family-centered outcomes.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"810-814"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149060868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Online Search Behavior for Pediatric Urology Conditions: A Google Trends Infodemiology Analysis of Symptom Awareness versus Treatment-seeking Interest across Four Entities (2004-2024).","authors":"Bitesh Kumar, Anjan Kumar Dhua, Vishesh Jain, Devendra Kumar Yadav, Sandeep Agarwala, Prabudh Goel","doi":"10.4103/jiaps.jiaps_148_26","DOIUrl":"10.4103/jiaps.jiaps_148_26","url":null,"abstract":"<p><strong>Background: </strong>Pelviureteric junction obstruction (PUJO), vesicoureteric reflux (VUR), hypospadias, and undescended testis (UDT) (cryptorchidism) are among the most commonly encountered conditions in pediatric urology practice. However, caregiver online health-seeking behavior for these conditions remains poorly characterized.</p><p><strong>Objective: </strong>To compare symptom-seeking versus treatment-seeking online search behavior for these four conditions globally (2004-2024) and assess the impact of the coronavirus disease 2019 (COVID-19) pandemic.</p><p><strong>Study design: </strong>Retrospective infodemiology study using Google Trends relative search volume data.</p><p><strong>Methods: </strong>Google Trends were queried globally at monthly resolution for 2004-2024. For each condition, 10 search terms - selected using prespecified criteria of clinical plausibility, lay vocabulary fidelity, and nonredundancy - were divided into symptom-seeking and treatment-seeking groups. A shared anchor term enabled cross-group normalization to yield a monthly symptom-to-treatment (S: T) ratio. Spearman correlation assessed temporal trends; the Kruskal-Wallis test with Bonferroni correction evaluated inter-entity differences.</p><p><strong>Results: </strong>Hypospadias showed the highest treatment-seeking volume and the lowest S: T ratio (0.003 ± 0.027), indicating persistent treatment-dominant searching throughout. UDT demonstrated a significant increasing S: T trend (<i>ρ</i> =0.845, <i>P</i> = 0.034). PUJO had the highest mean S: T ratio (0.214 ± 0.584), peaking at 1.75 in 2016. VUR returned only seven active months. COVID-19 suppressed PUJO searches while hypospadias remained stable. Inter-entity S: T differences were statistically significant (Kruskal-Wallis <i>H</i> = 7.89, <i>P</i> = 0.048).</p><p><strong>Conclusions: </strong>Significant differences exist in online caregiver health-seeking behavior across the four most common pediatric urological conditions, identifying condition-specific gaps in digital health literacy and targets for focused caregiver education.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"815-822"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retraction: Indocyanine Green Fluorescence-guided Thoracic Duct Sparing Esophagectomy for Corrosive Esophageal Stricture in a Pediatric Patient.","authors":"","doi":"10.4103/jiaps.jiaps_345_26","DOIUrl":"10.4103/jiaps.jiaps_345_26","url":null,"abstract":"<p><p>[This retracts the article on p. 787 in vol. 30, PMID: 41293504.].</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"877"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Billroth 1: Surgical Management of Pediatric Gastric Outlet Obstruction: Our Institutional Experience: A Case Series.","authors":"Rajib Bora, Arunima Bharadwaj, Ayush Khati, Sujoy Neogi, Simmi K Ratan, Gaurav Saxsena","doi":"10.4103/jiaps.jiaps_420_25","DOIUrl":"10.4103/jiaps.jiaps_420_25","url":null,"abstract":"<p><p>Gastric outlet obstruction (GOO) is a late complication of corrosive ingestion, particularly in children. Although corrosive injuries primarily affect the esophagus, involvement of the pyloric antrum with progressive stenosis is also common. Optimal surgical management remains debated, and evidence supporting the use of Billroth 1 reconstruction continues to evolve. The study reviews eight patients who developed corrosive acid-induced GOO and underwent surgical intervention. All patients were evaluated clinically and radiologically to assess the severity of obstruction. The operative procedure primarily consisted of antrectomy with gastroduodenostomy (Billroth 1) based on intraoperative findings and the extent of fibrosis. Postoperative outcomes, symptom resolution, and ability to tolerate feeds were assessed during follow-up. All eight patients had pyloric obstruction with marked antral fibrosis. Billroth 1 reconstruction was successfully completed in all cases. Postoperatively, patients demonstrated early return of gastric emptying and tolerated oral feeds well. All patients remained asymptomatic, exhibited weight gain, and showed no evidence of recurrence or postoperative complications on follow-up. The procedure provided definitive relief and restored normal physiological continuity of the gastrointestinal tract. Corrosive-induced GOO requires individualized management based on the extent of injury and patient condition. Through this manuscript, we advocate Billroth 1 as a safe and effective treatment of GOO with good short- to mid-term outcomes.</p>","PeriodicalId":16069,"journal":{"name":"Journal of Indian Association of Pediatric Surgeons","volume":"31 5","pages":"718-722"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13614816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149061668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}