Blunt thorax oesophageal stripping: an emergency procedure for caustic ingestion.
We report our experience with an original procedure which we have applied to the management of acute necrotic caustic burns of the upper gastro-intestinal tract. Blunt thorax oesophageal stripping is performed through a cervicotomy and a laparotomy, thus avoiding a wide pleural exposure and the frequent and often fatal respiratory complications of a thoracotomy. The stripping method permitted survival of 13 of 17 patients and is thus considered to be a safer and more successful technique than open thoracic oesophagectomy.
D000328:Adult; D000368:Aged; D002057:Burns, Chemical / Q000601:surgery*; D004630:Emergencies; D004947:Esophagus / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009336:Necrosis