@article{ref1,
title="Surgical management of corrosive strictures following acid burns of upper gastrointestinal tract",
journal="European journal of cardio-thoracic surgery",
year="1996",
author="Gupta, S.",
volume="10",
number="11",
pages="934-940",
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.<p /><p>Language: en</p>",
language="en",
issn="1010-7940",
doi="10.1016/s1010-7940(96)80393-9",
url="http://dx.doi.org/10.1016/s1010-7940(96)80393-9"
}