title: Gastric tube interposition for corrosive esophagitis associated with pyloric stenosis.
abstract: Corrosive esophagitis, caused by swallowing corrosive acid or alkali, results in cicatricial stricture of the esophagus. The stricture is often accompanied by pyloric stenosis because strong acids act synergistically with gastric juice. Resection of both the esophagus and stomach is usually necessary, and the colon or jejunum is used as an esophageal substitute. We describe how we successfully treated corrosive esophagitis associated with pyloric stenosis, by performing gastric tube interposition for the esophageal reconstruction. After resecting the injured distal part of the stomach, we pulled the pedunculated gastric tube up to the cervix after anastomosis to the jejunal limb in a Roux-en-Y fashion. This reconstruction procedure prevented excessive organ sacrifice and was minimally invasive. Thus, esophageal reconstruction by interposition using a pedunculated gastric tube can be used effectively to treat corrosive esophagitis associated with pyloric stenosis.
authors.affiliation: Division of Digestive and General Surgery, Niigata University Graduate School of Medical and Dental Sciences, 1-754 Asahimachidori, Niigata, 951-8510, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsuki
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Kanda
authors.forename: Shin-ichi
authors.initials: S
authors.lastname: Kosugi
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Suzuki
authors.forename: Katsuyoshi
authors.initials: K
authors.lastname: Hatakeyama
mesh_terms: D000713:Anastomosis, Roux-en-Y; D002057:Burns, Chemical / Q000601:surgery*; D004941:Esophagitis / Q000139:chemically induced* / Q000601:surgery*; D004947:Esophagus / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D006851:Hydrochloric Acid / Q000506:poisoning*; D008875:Middle Aged; D011707:Pyloric Stenosis / Q000139:chemically induced* / Q000601:surgery*; D019651:Plastic Surgery Procedures; D013406:Suicide, Attempted
chemical_list: D006851:Hydrochloric Acid