[Immediate oesojejunal anastomosis after total gastrectomy in caustic necrosis].
Eight patients underwent total gastrectomy for caustic ingestion. Oesophago-jejunostomy was performed in the same surgical session. One patient died from hemorrhage. Only one of the 7 survivors had a benign anastomotic fistula. Five healed without any sequelae, 2 underwent colonoplasty 3 months later, because of a secondary oesophageal stenosis. We conclude that it is feasible, in certain unusual cases, to restore gastrointestinal continuity after total gastrectomy for caustic necrosis: moderate oesophageal lesions (stage I or II) and ingestion of a caustic product that cause few oesophageal damage (acids, liquid chlorine bleach, ...).
Gossot
D
D
Sarfati
E
E
Celerier
M
M
D000293:Adolescent; D000328:Adult; D000713:Anastomosis, Roux-en-Y; D002424:Caustics / Q000009:adverse effects*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D012189:Retrospective Studies; D013270:Stomach / Q000293:injuries* / Q000473:pathology
D002424:Caustics
Anastomose oeso-jéjunale immédiate après gastrectomie totale pour nécrose caustique.