title: Minimally invasive esophagectomy for caustic ingestion after 73 years and over 200 endoscopic dilations: is it just a matter of time?
abstract: Refractory esophageal strictures are a common sequela of caustic ingestion. If endoscopic dilation becomes ineffective, esophagectomy represents the only therapeutic option. The minimally invasive approach, specifically the thoracoscopic access in prone position, may allow postoperative morbidity to be reduced. We present the first case described in the Literature of minimally invasive esophagectomy in prone position for a long-term failure of endoscopic dilation after caustic ingestion.
authors.affiliation: Dipartimento di Scienze Chirurgiche, sezione di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli studi di Parma, Via Gramsci n.14, 43100 Parma Italia.. fede53@lycos.com.
authors.forename: Federico
authors.initials: F
authors.lastname: Marchesi
authors.forename: Chiara
authors.initials: C
authors.lastname: Rapacchi
authors.forename: Vittoria
authors.initials: V
authors.lastname: Pattonieri
authors.forename: Francesco
authors.initials: F
authors.lastname: Tartamella
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Mita
authors.forename: Stefano
authors.initials: S
authors.lastname: Cecchini
mesh_terms: D000368:Aged; D002424:Caustics / Q000633:toxicity*; D004106:Dilatation; D004940:Esophageal Stenosis / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004945:Esophagoscopy; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*
chemical_list: D002424:Caustics
keywords: minimally invasive esophagectomy, caustic ingestion, stricture, endoscopic dilation