پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,149 |
| تعداد مقالات | 10,518 |
| تعداد مشاهده مقاله | 45,415,539 |
| تعداد دریافت فایل اصل مقاله | 11,291,340 |
Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 3، دوره 8، شماره 3، آذر 2020، صفحه 125-128 اصل مقاله (519.31 K) | ||
| نوع مقاله: Research/Original Article | ||
| شناسه دیجیتال (DOI): 10.30476/acrr.2020.84600.1024 | ||
| نویسندگان | ||
| Arash khashayar؛ Ahmad Khaleghnejad Tabari؛ Leily Mohajerzadeh* ؛ Javad Ghoroubi؛ Mahdieh Samami | ||
| Pediatric Surgery Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran | ||
| چکیده | ||
| Background: The corrosive esophageal injury would result in mucosal damage related to type, exposure time, and volume of ingested substance ranging from mild burn to severe necrosis. It is usually seen in childhood. Stricture and dysphagia are common. Swallowing problems are due to prolonged stricture and would require surgery. However postoperative problems should also be considered. The purpose of this study was to determine the results of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube. Methods: In this observational descriptive-comparative study, 50 consecutive patients attending to Mofid children hospital since 2006 to 2016 were enrolled and the results of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube among them were determined and compared according to other variables. Results: The results in this study demonstrated that 68% required surgery that 82.3% had repeat surgery. Out of them 22 were performed with Gastric Pull up method that was successful in majority of subjects. Esophageal stricture (74%), vomiting (46%), and dysphagia (40%) were most common preoperative problems and dysphagia (46%), stricture (36%), and vomiting (26%) were most common postoperative problems. There were 4 mortality cases. Conclusion: Totally, according to the obtained results, it may be concluded that esophagus substitution in the management of corrosive esophageal injury is effective that Gastric Pull up method is best option. | ||
| کلیدواژه‌ها | ||
| Esophagus substitution؛ Corrosive esophageal injury؛ Surgical outcomes | ||
|
سایر فایل های مرتبط با مقاله
|
||
| مراجع | ||
|
1- Bocharnikov ES, Orlov IuP, Ponomarev VI, Berezniak GN, Davydenko DV. Diagnosis and combined treatment of esophageal chemical burns in children. Khirurgiia (Mosk). 1999; 7:30-2.
2- Kamat R, Gupta P, Reddy YR, Kochhar S, Nagi B, Kochhar R. Corrosive injuries of the upper gastrointestinal tract: A pictorial review of the imaging features. Indian J Radiol Imaging. 2019;29(1):6–13.
3- Isakov IF, Stepanov EA, Razumovskiĭ AI, Timoshchenko OV. Treatment of chemical burns of the esophagus in children. Khirurgiia (Mosk). 1996;(4):4-8.
4- Lupa M, Magne J, Guarisco JL, Amedee R. Update on the diagnosis and treatment of caustic ingestion. Ochsner J. 2009 Summer;9(2):54-9.
5- Glotov VA. Pathogenesis of dysphagia in chemical injuries of the esophagus. Khirurgiia (Mosk). 1982;(9):64-7.
6- Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: a comprehensive review. World J Gastroenterol. 2013;19(25):3918-30.
12- Han Y, Cheng QS, Li XF, Wang XP. Surgical management of esophageal strictures after caustic burns: a 30 years of experience. World J Gastroenterol. 2004;10(19):2846–2849.
13- Harlak A, Yigit T, Coskun K, et al. Surgical treatment of caustic esophageal strictures in adults. Int J Surg. 2013;11(2):164-8.
14- Kane TD, Nwomeh BC, Nadler EP. Thoracoscopic-assisted esophagectomy and laparoscopic gastric pull-up for lye injury. JSLS. 2007;11(4):474-80.
15- Hamza AF, Abdelhay S, Sherif H, et al. Caustic esophageal strictures in children: 30 years' experience. J Pediatr Surg. 2003 Jun;38(6):828-33.
17- Lal R, Behari A, Reddy J, Poddar B. Esophageal exclusion and bypass for corrosive injury: The lessons learnt. J Indian Assoc Pediatr Surg. 2014;19(1):46-8.
18- Soccorso G, Parikh DH. Esophageal replacement in children: Challenges and long-term outcomes. J Indian Assoc Pediatr Surg. 2016;21(3):98-105.
19- Gvalani AK, Deolekar S, Gandhi J, Dalvi A. Antesternal colonic interposition for corrosive esophageal stricture. Indian J Surg. 2014 Feb;76(1):56-60.
20- Javed A, Agarwal AK. Total laparoscopic esophageal bypass using a colonic conduit for corrosive-induced esophageal stricture. Surg Endosc. 2013; 27(10):3726-32.
21- Burgos L, Barrena S, Andrés AM, Martínez L, Hernández F, Olivares P, et al. Colonic interposition for esophageal replacement in children remains a good choice: 33-year median follow-up of 65 patients. J Pediatr Surg. 2010; 45(2):341-5.
22- Fürst H, Hartl WH, Löhe F, Schildberg FW. Colon interposition for esophageal replacement: an alternative technique based on the use of the right colon. Ann Surg. 2000;231(2):173-8. | ||
|
آمار تعداد مشاهده مقاله: 298 تعداد دریافت فایل اصل مقاله: 425 |
||
