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Results of Pharyngocolostomy in Intractable Caustic Pharyngeal Stricture / 대한흉부외과학회지
Article en Ko | WPRIM | ID: wpr-182580
Biblioteca responsable: WPRO
ABSTRACT
BACKGROUND: It is not easy to surgically correct caustic pharyngeal strictures and a lot of effort is required to restore normal swallowing after the surgery. The authors reviewed the course in patients who underwent pharyngocolostomy. MATERIAL AND METHOD: From August 1995 to March 1998, 6 patients with caustic stricture underwent esophageal reconstruction surgery. The time of injury to the replacement of the esophagus was from 3 months to 2 years and 4 months. The left colon was used in all patients. The surgical route was used under the sternum in 5 patients and through the esophageal hiatus in 1 patient. In the cervical anastomoses, the cervical pharyngocolic anastomosis was performed on the left pyriform sinus after a partial resection of the thyroid cartilage in 3 patients and on the posterolateral aspect of the inferior pharyngeal constrictor in 3 patients. RESULT: Postoperative complications consisted of a dysphagia in 3 patients and left vocal cord palsy in 1 patient. There was no cervical anastomotic stricture. Revisional procedures consisted of an esophageal dilation and free jejunal graft in 1 patient, supraglottic scar band resection in 1 patient, and colonic mucosal resection in 1 patient. Swallowing training was required in the 3 patients with dysphagia. Restoration of normal swallowing was obtained in all patients between the 9th and the 303rd day. CONCLUSION: Pharyngocolostomy is a satisfactory method of treatment for patients with intractable caustic stricture. Pharyngocolojejunostomy is an effective alternative for esophagocologastrostomy in cases where gastric outlets are involved.
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Texto completo: 1 Índice: WPRIM Asunto principal: Complicaciones Posoperatorias / Esternón / Cartílago Tiroides / Trastornos de Deglución / Parálisis de los Pliegues Vocales / Cicatriz / Colon / Constricción Patológica / Trasplantes / Deglución Límite: Humans Idioma: Ko Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 1999 Tipo del documento: Article
Texto completo: 1 Índice: WPRIM Asunto principal: Complicaciones Posoperatorias / Esternón / Cartílago Tiroides / Trastornos de Deglución / Parálisis de los Pliegues Vocales / Cicatriz / Colon / Constricción Patológica / Trasplantes / Deglución Límite: Humans Idioma: Ko Revista: The Korean Journal of Thoracic and Cardiovascular Surgery Año: 1999 Tipo del documento: Article