Citation

Gupta S. Eur. J. Cardiothorac. Surg. 1996; 10(11): 934-940.

Copyright

(Copyright © 1996, Elsevier Publishing)

DOI

10.1016/s1010-7940(96)80393-9

PMID

8971503

Abstract

OBJECTIVE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSIONS: 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, restores normal deglutition, 5) parenteral vitamin B12 replacement is necessary in severe gastric burns.

Language: en

Keywords

Acids; Adolescent; Adult; Burns, Chemical; Child; Esophageal Stenosis; Esophagoplasty; Esophagus; Female; Humans; Male; Middle Aged; Suicide, Attempted