Pharyngogastrostomy for treatment of severe caustic stricture of the pharynx and esophagus.
Four cases of combined pharyngeal and esophageal stricture were managed by pharyngogastrostomy 4 months to 42 years after injury. The stomach was brought up to the neck via the posterior mediastinum after the esophagectomy. A thoracotomy was not used. The results were suprisingly good in 3 patients followed to 3 years. A fourth patient died 6 months after the operation. In those patients benefiting from the operation, regurgitation was minimal when a few precautions were observed. The patients have normal hunger pains and appetite. They are able to eat a full-sized meal. The advantages of stomach compared to colon replacement of the esophagus are discussed.
D000328:Adult; D002057:Burns, Chemical / Q000601:surgery*; D002424:Caustics / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000139:chemically induced / Q000601:surgery; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000601:surgery*; D005260:Female; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007813:Laparotomy; D008297:Male; D008722:Methods; D008875:Middle Aged; D010608:Pharyngeal Diseases / Q000139:chemically induced / Q000601:surgery*; D010614:Pharynx / Q000601:surgery*; D011182:Postoperative Care
D002424:Caustics