[Esophageal mucoceles complicating double exclusion of the esophagus after ingestion of caustics].
A mucocele is rarely observed after esophageal exclusion for corrosive burns. It may represent a contra-indication to esophageal conservation in case of a total gastric resection for necrosis and perforation of the stomach. To evaluate this risk, 15 patients, operated between January 1970 and december 1988, were reviewed: they underwent total gastric resection with esophageal exclusion, followed by a secondary colon transplant between the cervical esophagus and the duodenum. A plain chest film was performed for 13 patients and a CT scan for 11 patients. Mean follow-up was 5.7 years (2 months - 17 years). Four patients died, one of them after resection of a compressive esophageal mucocele. Six mucoceles were detected on 13 chest films and 7 were described on 11 CT scans. On the whole, 8 mucoceles were diagnosed on 15 patients; one of them was complicated by tracheal compression. The formation of a secondary esophageal mucocele is a late sign of incomplete destruction of the esophageal wall. It is a frequent complication of esophageal exclusion performed after total gastrectomy for corrosive burns of the stomach. It must be detected on a chest film which shows the largest dilatations or on a CT scan, which is a better investigation. When the diameter of the mucocele is equal of superior to 50 mm, it can be compressive and must be treated by resection of internal diversion.
Chambon
J P
JP
Clinique Chirurgicale Ouest, Hôpital Claude-Huriez, CHRU, Lille.
Robert
Y
Y
Rémy
J
J
Ribet
M
M
D000293:Adolescent; D000328:Adult; D002057:Burns, Chemical / Q000601:surgery*; D002424:Caustics / Q000009:adverse effects; D002675:Child, Preschool; D004935:Esophageal Diseases / Q000209:etiology*; D004947:Esophagus / Q000293:injuries / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000209:etiology*; D011183:Postoperative Complications
D002424:Caustics
Mucocèles oesophagiennes compliquant la double exclusion de l'oesophage après ingestion de caustique.