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2004 ; 10
(19
): 2846-9
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Surgical management of esophageal strictures after caustic burns: a 30 years of
experience
#MMPMID15334683
Han Y
; Cheng QS
; Li XF
; Wang XP
World J Gastroenterol
2004[Oct]; 10
(19
): 2846-9
PMID15334683
show ga
AIM: To analyze a 30-year historical series of patients treated in our hospital,
who ingested corrosive substances, and to assess the effectiveness of surgical
therapy administered in patients with strictures after caustic injury in
esophagus during this period. METHODS: A total of 79 cases of caustic burns in
esophagus were treated in Tangdu Hospital from 1971 to 2001. Their clinical and
pathological data were reviewed, and collected from the medical records of
patients and interviews with them. RESULTS: More men (n = 61) than women (n = 18)
ingested caustic substances with a sex ratio of 3.4:1 during the 30-year period.
The caustic materials were liquid lye and acids (54 cases and 25 cases,
respectively). Sixty-eight patients were given esophageal replacement in more
than three months after caustic injury with no postoperative death, of which 17
cases developed postoperative complications making a complication rate of 25%.
The most common one was cervical anastomotic leakage. All patients had
improvement in swallowing afterwards. CONCLUSION: The presence and severity of
injuries are correlated with the amount of caustic substances ingested. Surgical
treatment is a good option in patients with severe strictures, and colonic
interposition might be the best surgical process. The most important factors to
guarantee a successful outcome for surgery are good vascular supply and absence
of tension in the anastomosis.