Tracheobronchial Necrosis After Caustic Ingestion

Annals of Surgery
Barak BenjaminMircea Chirica

Abstract

The aim of this study was to describe the management and outcome of tracheobronchial necrosis (TBN) after caustic ingestion. Emergency pulmonary patch repair has been reported to be lifesaving in patients with caustic TBN. Patients who underwent management of caustic TBN between 1989 and 2013, were included. TBN was defined as early if present on admission and late if occurring thereafter. Operative outcomes, long-term survival, and functional outcomes were compared with those of 269 patients without TBN who underwent esophagectomy for caustic injuries. Twenty patients were included (10 men; median age = 39 years). Early TBN was detected in 14 patients, and late TBN occurred in 7 patients, 8 days (range:: 6-10 days) after admission. TBN involved the left bronchus (n = 17; 85%), the carina (n = 10; 50%), the supracarinal trachea (n = 9; 45%), the right bronchus (n = 4; 20%), and the cervical trachea (n = 3; 15%). Seventeen patients underwent esophagogastrectomy, 2 underwent esophagectomy, and in 1 patient, resection was eventually abandoned. Pulmonary patch repair was performed in 16 patients (80%). Nine patients (45%) died and morbidity was 100%. In univariate analysis, late TBN (P = 0.017) and acid ingestion (P = 0.002) were p...Continue Reading

References

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Citations

Apr 14, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Manuel F StruckMichael Bernhard
Sep 29, 2015·World Journal of Emergency Surgery : WJES·Luigi BonavinaPredrag Pesko
Feb 28, 2016·World Journal of Surgery·Romain DucoudrayMircea Chirica
Apr 27, 2010·The Annals of Thoracic Surgery·Chung-Chieh HuangYung-Chie Lee
Mar 21, 2017·Journal of Burn Care & Research : Official Publication of the American Burn Association·Juliane NehrlichAmelie Lupp
Feb 6, 2020·Critical Reviews in Toxicology·Alan H HallBernard Meyer
Jun 6, 2019·World Journal of Emergency Surgery : WJES·Mircea ChiricaLuigi Bonavina

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