Esophagocoloplasty in the management of postcorrosive strictures of the esophagus
Küçük Resim Yok
Tarih
1998
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
H G E Update Medical Publ Ltd.
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Background/Aims: Esophageal replacement therapy has developed an. increasing role in the management of severe esophageal strictures due to caustic ingestion. The aim of this study is to discuss methods of reconstruction and results of them in corrosive esophagitis at our Institute. Methodology: Thirty-three patients underwent 34 esophagocoloplasties for benign strictures of the esophagus over a 17-year period. The left colon. was used in. 8 patients, the right colon. in 3 patients, and the right colon, with the terminal ileum in 23 patients. Results: Three patients died in. the first postoperative month, and there was art overall mortality rate of 9%. The most severe complication was graft necrosis (2 patients). The remainder of the patients survived without any deleterious complications. Conclusion: Esophageal replacement therapy using the right colon. with the terminal ileum is superior to the modalities in terms of the continuity of peristalsis of the interposed bowel segment with an intact ileocecal valve, which decreases the hazard of regurgitation from the colon. It is also easier to perform an anastomosis between the ileum and the cervical esophagus from the point of view of surgical manipulation.
Açıklama
Anahtar Kelimeler
caustic ingestion, esophagectomy, Lye ingestion, esophagitis, caustic stricture, corrosive esophagitis, esophageal carcinoma, colon, esophageal strictures, bowel transplantation
Kaynak
Hepato-Gastroenterology
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
45
Sayı
19
