Esophageal caustic stenosis – difficulties of therapeutic management
Esophageal stenosis is one of the most common sequels of caustic injury. After the ingestion, in the acute phase, the life support is sometimes critical, and the treatment varies from observation to esophagectomy. During the first 6 months, endoscopic dilation can be necessary in order to maintain t...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Editura Universitara Carol Davila
2019-11-01
|
Series: | Journal of Surgical Sciences |
Subjects: | |
Online Access: | http://journalofsurgicalsciences.com/index.php/jss/article/view/285 |
id |
doaj-39ab7a5231f04df597da47a2088f87a4 |
---|---|
record_format |
Article |
spelling |
doaj-39ab7a5231f04df597da47a2088f87a42020-11-25T01:45:55ZengEditura Universitara Carol DavilaJournal of Surgical Sciences2360-30382457-53642019-11-0163909510.33695/jss.v6i3.285285Esophageal caustic stenosis – difficulties of therapeutic managementAndrei Crețu0Rodica BîrlăPetre HoarăAlkadour AbdulahMădălina MitreaSilviu ConstantinoiuCarol Davila University of Medicine and Pharmacy; Romanian Student Society of Surgery.Esophageal stenosis is one of the most common sequels of caustic injury. After the ingestion, in the acute phase, the life support is sometimes critical, and the treatment varies from observation to esophagectomy. During the first 6 months, endoscopic dilation can be necessary in order to maintain the patency of the esophageal lumen. Usually, endoscopic dilation is the treatment of choice for caustic stenosis of the esophagus. Sometimes this procedure is not possible or too risky and then reconstruction surgery is needed, but no earlier than 6 months. We present the case of a 57 years old male who was referred to our clinic for the treatment of a mid-esophageal caustic stenosis, after the accidental ingestion of a concentrated alkaline substance 6 months before. After an initial successful endoscopic dilation, in the second attempt, due to the asymmetric position of the stenosis and the high risk of perforation, we decided to perform an esophageal by-pass. We chose to use the left colon for interposition, with the left branch of middle colic artery as the feeding source and the sigmoid trunk as the second arcade. The surgical procedure went uneventful, with restoration of normal oral feeding.http://journalofsurgicalsciences.com/index.php/jss/article/view/285esophageal caustic stenosiscolon interposition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrei Crețu Rodica Bîrlă Petre Hoară Alkadour Abdulah Mădălina Mitrea Silviu Constantinoiu |
spellingShingle |
Andrei Crețu Rodica Bîrlă Petre Hoară Alkadour Abdulah Mădălina Mitrea Silviu Constantinoiu Esophageal caustic stenosis – difficulties of therapeutic management Journal of Surgical Sciences esophageal caustic stenosis colon interposition |
author_facet |
Andrei Crețu Rodica Bîrlă Petre Hoară Alkadour Abdulah Mădălina Mitrea Silviu Constantinoiu |
author_sort |
Andrei Crețu |
title |
Esophageal caustic stenosis – difficulties of therapeutic management |
title_short |
Esophageal caustic stenosis – difficulties of therapeutic management |
title_full |
Esophageal caustic stenosis – difficulties of therapeutic management |
title_fullStr |
Esophageal caustic stenosis – difficulties of therapeutic management |
title_full_unstemmed |
Esophageal caustic stenosis – difficulties of therapeutic management |
title_sort |
esophageal caustic stenosis – difficulties of therapeutic management |
publisher |
Editura Universitara Carol Davila |
series |
Journal of Surgical Sciences |
issn |
2360-3038 2457-5364 |
publishDate |
2019-11-01 |
description |
Esophageal stenosis is one of the most common sequels of caustic injury. After the ingestion, in the acute phase, the life support is sometimes critical, and the treatment varies from observation to esophagectomy. During the first 6 months, endoscopic dilation can be necessary in order to maintain the patency of the esophageal lumen.
Usually, endoscopic dilation is the treatment of choice for caustic stenosis of the esophagus. Sometimes this procedure is not possible or too risky and then reconstruction surgery is needed, but no earlier than 6 months.
We present the case of a 57 years old male who was referred to our clinic for the treatment of a mid-esophageal caustic stenosis, after the accidental ingestion of a concentrated alkaline substance 6 months before. After an initial successful endoscopic dilation, in the second attempt, due to the asymmetric position of the stenosis and the high risk of perforation, we decided to perform an esophageal by-pass. We chose to use the left colon for interposition, with the left branch of middle colic artery as the feeding source and the sigmoid trunk as the second arcade. The surgical procedure went uneventful, with restoration of normal oral feeding. |
topic |
esophageal caustic stenosis colon interposition |
url |
http://journalofsurgicalsciences.com/index.php/jss/article/view/285 |
work_keys_str_mv |
AT andreicretu esophagealcausticstenosisdifficultiesoftherapeuticmanagement AT rodicabirla esophagealcausticstenosisdifficultiesoftherapeuticmanagement AT petrehoara esophagealcausticstenosisdifficultiesoftherapeuticmanagement AT alkadourabdulah esophagealcausticstenosisdifficultiesoftherapeuticmanagement AT madalinamitrea esophagealcausticstenosisdifficultiesoftherapeuticmanagement AT silviuconstantinoiu esophagealcausticstenosisdifficultiesoftherapeuticmanagement |
_version_ |
1725021870572437504 |