title: [Esophageal mucoceles complicating double exclusion of the esophagus after ingestion of caustics].
abstract: 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.
authors.forename: J P
authors.initials: JP
authors.lastname: Chambon
authors.forename: Y
authors.initials: Y
authors.lastname: Robert
authors.forename: J
authors.initials: J
authors.lastname: Rémy
authors.forename: M
authors.initials: M
authors.lastname: Ribet
mesh_terms: D000293:Adolescent; D000328:Adult; D002057:Burns, Chemical / Q000209:etiology* / Q000601:surgery; D002424:Caustics / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D004941:Esophagitis / Q000139:chemically induced / Q000601:surgery; D004944:Esophagoplasty / Q000379:methods; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005756:Gastritis / Q000139:chemically induced / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009078:Mucocele / Q000175:diagnosis* / Q000601:surgery; D011183:Postoperative Complications
chemical_list: D002424:Caustics
vernacular_title: Mucocèles oesophagiennes compliquant la double exclusion de l'oesophage après ingestion de caustique.