Document Detail


Emergency oesophageal stripping, an aggressive approach to acute, necrotic caustic burns of the oesophagus and stomach.
MedLine Citation:
PMID:  2356676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors describe a patient who was admitted with total necrosis of the oesophageal and gastric mucosa after ingestion of concentrated sodium hydroxide solution. An emergency total gastrectomy and blunt, thoracic oesophageal stripping was performed. Three months later, the continuity of the digestive tract was restored by a retrosternal colon interposition. The necessity of an aggressive diagnostic and therapeutic approach after the ingestion of caustics is recommended. An emergency endoscopic evaluation of the upper G.I. tract is mandatory. If a third degree oesogastric mucosal burn is diagnosed urgent laparatomy should be performed to assess transmural wall necrosis. If present an oesophageal gastrectomy should be performed as a life saving intervention.
Authors:
L Hendrickx; A Hubens; W Van Hee
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta chirurgica Belgica     Volume:  90     ISSN:  0001-5458     ISO Abbreviation:  Acta Chir. Belg.     Publication Date:    1990 Mar-Apr
Date Detail:
Created Date:  1990-07-26     Completed Date:  1990-07-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370571     Medline TA:  Acta Chir Belg     Country:  BELGIUM    
Other Details:
Languages:  eng     Pagination:  46-9     Citation Subset:  IM    
Affiliation:
University Department of Surgery, Stuivenberg Hospital, Antwerp.
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MeSH Terms
Descriptor/Qualifier:
Adult
Burns, Chemical / pathology,  surgery*
Colon / transplantation
Esophagoplasty / methods
Esophagus / injuries*,  pathology,  surgery
Humans
Male
Necrosis
Sodium Hydroxide / adverse effects
Stomach / injuries*,  pathology,  surgery
Chemical
Reg. No./Substance:
1310-73-2/Sodium Hydroxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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