THE RESULT IN FORMATION OF THE UPPER DIGESTIVE TRACT FOR PATIENTS WHO BURN CAUSED BY CAUTIC INGESTION: EXPERIENCE OF 5 PATIENTS

Trần Mạnh Hùng1,, Nguyễn Trung Kiên1, Cù Trung Kiên1, Vũ Thị Nhã1
1 Bach Mai Hospital

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Abstract

Objectives: the short- and long-term outcomes in formation of the upper digestive tract for patients who burn caused by cautic ingestion. Materials and  methods : one patient with esophageal burn,  four cases with simultaneous burns of both esophagus and stomach due to caustic chemicals, which subsequently caused retraction, stricture, and tightening of the entire esophagus and stomach, were successfully operated by esophago-gastrectomy and the reconstruction of  the upper gastrointestinal tract at Bach Mai Hospital. Results:  The surgery lasted from 5 hours to 8 hours , the patients lost 300 - 350 ml of blood without blood transfusion during and after surgery. The operation went well without any complications. The patient were discharged from hospital at 9th day to 18th day post-surgery.  All 5 cases were scheduled for follow-up examination, patients were able to eat and drink without any signs of reflux, having gained 2 to 9kg. Conclusion: Caustic ingestion can cause serious damages the esophagus or to both the esophagus and the stomach. Formation of the upper digestive tract by the ileum - right colon for patient who underwent total esophagogastrectomy due to caustic ingestion safely and effectively

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References

1. Kluger Y, Ishay OB, Sartelli M, Katz A, Ansaloni A, Gomez CA, et al. Caustic ingestion management: World society of emergency surgery preliminary survey of expert opinion. World J Emerg Surg. 2015;10:48. [PMC free article] [PubMed] [Google Scholar]
2. Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: A comprehensive review. World J Gastroenterol. 2013;19:3918–30. [PMC free article] [PubMed] [GoogleScholar]
3. Hamza AF, Abdelhay S, Sherif H, Hasan T, Soliman H, Kabesh A, et al. Caustic esophageal strictures in children: 30 years' experience. J Pediatr Surg. 2003;38(6):828–33. [PubMed] [Google Scholar
4. Meena BL, Narayan KS, Goyal G, Sultania S, Nijhawan S. Corrosive injuries of the upper gastrointestinal tract. J Dig Endosc. 2017;8:165–9. [Google Scholar]
5. Keh SM, Onyekwelu N, McManus K, McGuigan J. Corrosive injury to upper gastrointestinal tract: Still a major surgical dilemma. World J Gastroenterol. 2006;12:5223–8. [PMC free article] [PubMed] [Google Scholar]
6. Gerald F. O’Malley. Caustic Substances Poisoning. American Association of Poison Control Centers: 1-800-222-1222
7. Bassiouny IE, Bahnassy AF. Transhiatal esophagectomy and colonic interposition for caustic esophageal stricture. J Pediatr Surg. 1992; 27(8):1091 – 5. [PubMed] [Google Scholar]
8. Bita Shahbazzadegan, Mehdi Samadzadeh, Iraj Feizi, and Yousef Shafaiee. Management of Esophageal Burns Caused by Caustic Ingestion: A Case Report Iran Red Crescent Med J. 2016 Nov; 18(11): e12805. Published online 2016 Mar 8. doi: 10.5812/ ircmj.12805.
9. Maier A, Pinter H, Tomaselli F, Sankin O, Gabor S, Ratzenhofer-Komenda B, et al. Retrosternal pedicled jejunum interposition: an alternative for reconstruction after total esophago-gastrectomy. EurJCardiothorac Surg. 2002; 22(5): 661–5. [PubMed] [Google Scholar].