Surgical management of esophageal stenosis due to ingestion of corrosive substances.
J Surg Res
; 264: 249-259, 2021 08.
Article
em En
| MEDLINE
| ID: mdl-33839340
ABSTRACT
BACKGROUND:
Corrosive ingestion is a significant challenge for healthcare systems. Limited data are available regarding the best treatments, and there remains a lack of consensus about the optimal surgical approach and its outcomes. This study aims to review the current literature and show a single institution's experience regarding the surgical treatment of esophageal stenosis due to corrosive substance ingestion.METHODS:
A retrospective review that accounted for demographics, psychiatric profiles, surgical procedures, and outcomes was performed. A systematic review of the literature was performed using PubMed.RESULTS:
In total, 27 surgical procedures for esophageal stenosis due to corrosive substance ingestion were performed from 2010 to 2019. Depression and drug abuse were diagnosed in 30% and 22% of the included patients, respectively. Esophagectomies and esophageal bypasses were performed in 13 and 14 patients, respectively. No 30-day mortality was recorded.CONCLUSION:
Surgical intervention either by esophagectomy or esophageal bypass results in durable relief from dysphagia. However, successful clinical outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Queimaduras Químicas
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Cáusticos
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Comportamento Autodestrutivo
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Esofagectomia
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Estenose Esofágica
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article