[Total gastrectomy with esophageal exclusion following corrosive injury to the upper gastrointestinal tract].
A case report of a young male patient is demonstrated who has drunk hydrochloric acid with intention of suicide. Because of an extensive necrosis of the stomach, total gastrectomy with double exclusion of the esophagus and with jejunostomy was performed as an acute intervention. 6 weeks after the acute operation, a successful esophagojejunal bypass was carried out using the right colon. It is well-known from the literature that a mucocele can develop in the excluded esophagus after such an operation. In some cases the mucocele causes compression signs. For this reason, a regular control of these patients is suggested.
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Pécsi OTE I. Sebészeti Klinika.
Horváth
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Bogár
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Hertelendy
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D000208:Acute Disease; D000328:Adult; D002057:Burns, Chemical / Q000209:etiology* / Q000601:surgery; D003343:Corrosion; D004947:Esophagus / Q000187:drug effects / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D006851:Hydrochloric Acid / Q000008:administration & dosage / Q000009:adverse effects*; D007582:Jejunostomy; D008297:Male; D009336:Necrosis / Q000139:chemically induced / Q000473:pathology; D012646:Self Administration; D013270:Stomach / Q000187:drug effects* / Q000473:pathology / Q000601:surgery; D013406:Suicide, Attempted
D006851:Hydrochloric Acid
Oesophagus kirekesztéssel végzett total gastrectomia a felsö gastrointestinalis tractus korrozív sérülése után.