Surgical management of corrosive strictures following acid burns of upper gastrointestinal tract

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
S Gupta

Abstract

Acid burns of the upper gastrointestinal tract produce a complex combination of lesions which can be grouped into five types, and existing surgical techniques have proved inadequate in treating some of these lesions. Over the past 25 years 72 patients have needed operative treatment since they could not be managed by more conservative measures; the anatomical lesions in the five types and their surgical management are described. There were two early and one late death and morbidity was low in the long-term follow-up examinations, which included gastric secretory functions, transit time estimation with gamma camera and contrast radiography. The conclusions are 1) a variable approach is needed for each individual patient, 2) the right colon has proved suitable for esophageal bypass, 3) the ileum is included, when necessary, by making a side-to-side ileocaecoplasty to make it into a straight conduit and eliminate the caecal bulk and ileocaecal valve, 3) augmentation gastroduodenoplasty using a split jejunum or colon is very satisfactory for reconstructing a burnt contracted stomach, 4) posterior colopharyngeal anastomosis, performed as a pharyngoplasty by excising or widely incising the fibrosed posterior wall of the pharynx, rest...Continue Reading

Citations

Dec 21, 2007·Digestive Diseases and Sciences·S V RanaK Singh
Oct 26, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·J D KnezevićP M Pesko
Sep 29, 2015·World Journal of Emergency Surgery : WJES·Luigi BonavinaPredrag Pesko
Feb 23, 2010·BMC Public Health·Nasih Othman, Denise Kendrick
Apr 10, 2009·International Journal of Surgery·Jie HuangTusheng Wang
May 30, 2007·The Journal of Thoracic and Cardiovascular Surgery·Tzu-Ping ChenHui-Ping Liu
Jan 8, 2017·Pediatric Surgery International·Shilpa Sharma, Devendra K Gupta

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