[Reconstruction after emergency esophageal and gastric surgery for corrosive injury].
We performed 26 reconstructions after emergency esophago-gastrectomy for corrosive injury during 13 years (1992-2004). Substernal replacement with pedicled colon graft was performed in 22 patients. Multi-stage operations were performed in 4 patients, two free jejunal grafts were applied after unsuccessful colon replacement. In two patients reconstruction could be completed only with a skin tube. Two patients died in the postoperative period. We do not support one stage reconstruction in corrosive injuries, and we suggest that the ideal time for reconstruction is around two months after esophago-gastrectomy.
Pécsi Tudományegyetem OEC Sebészeti Klinika. ophorvath@iseb.pote.hu
Ors Péter
OP
Horváth
Gábor
G
Pavlovics
László
L
Cseke
Sándor
S
Márton
István
I
Battyáni
D000328:Adult; D002424:Caustics / Q000009:adverse effects*; D003106:Colon / Q000637:transplantation*; D004638:Emergency Treatment; D016629:Esophagectomy; D004947:Esophagus / Q000187:drug effects / Q000601:surgery*; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007583:Jejunum / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013270:Stomach / Q000187:drug effects / Q000601:surgery*; D013406:Suicide, Attempted; D014182:Transplantation, Autologous; D016896:Treatment Outcome
D002424:Caustics