Surgical results of corrosive injuries involving esophagus to jejunum

Ming Ho Wu, Wu Wei Lai, Tsann Long Hwang, Shih Chun Lee, Hon Ki Hsu, Torng Sen Lin

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16 Citations (Scopus)

Abstract

Background/Aim: Severe corrosive injury involving esophagus to jejunum remains an unique surgical problem which is associated with high mortality and morbidity. Material and Methods: Herein we report the outcomes of 28 caustic patients who underwent resections of the stomach, duodenum, a segment of jejunum, and adjacent involving organs. Results: In all of these patients except one, esophagectomy was also performed. The concomitant procedures included pancreaticojejunostomy (n = 24), choledochojejunosotmy (n = 4), cholecystostomy (n = 4), common bile duct or pancreatic duct drainage, feeding and drainage jejunostomies, and cervical esophagostomy. Major complications consisted of bile leakage (n = 10), bile-bronchial fistula (n = 2), internal bleeding due to vessel necrosis (n = 5), peritonitis (n = 4), acute renal failure (n = 4), and septicemia (n = 4). There were 13 hospital deaths (46.4%) and three late deaths. Eight out of 12 survivors underwent subsequent reconstruction of esophagus. The remaining four survivors depended on jejunostomy feeding. Conclusions: Early approaches and appropriate procedures can save a number of patients with corrosive injury involving esophagus to jejunum.

Original languageEnglish
Pages (from-to)846-850
Number of pages5
JournalHepato-Gastroenterology
Volume43
Issue number10
Publication statusPublished - 1996 Sep 27

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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    Wu, M. H., Lai, W. W., Hwang, T. L., Lee, S. C., Hsu, H. K., & Lin, T. S. (1996). Surgical results of corrosive injuries involving esophagus to jejunum. Hepato-Gastroenterology, 43(10), 846-850.