Fellow at The French College of Thoracic and Cardiovascular Surgery, Chief of Thoracic Surgery Department at Saint Louis Hospital, Aleppo, Syria.
Faculty of Medicine, Department of Internal Medicine, Division of Gastroenterology, University of Aleppo, Aleppo, Syria.
J Cardiothorac Surg. 2023 Apr 11;18(1):135. doi: 10.1186/s13019-023-02237-x.
Caustic substance ingestion is a high-risk medical emergency associated with high mortality and morbidity. To date, there are several treatment options with no standard method of care.
We report a case of a corrosive agent ingestion complicated with third-degree burns and severe stenosis of the esophagus and gastric outlet. After failure of conservative treatment, the patient underwent jejunostomy placement for nutritional support followed by transhiatal esophagectomy with gastric pull-up and intra-thoracic Roux-en-Y gastroenterostomy with good outcomes. The patient recovered from the procedure and has been tolerating oral intake very well with significant weight gain.
We put a new technique for treating severe gastrointestinal injuries caused by corrosive agent ingestion that resulted in both esophageal and gastric outlet strictures. These rare complex cases requires difficult treatment decisions. We believe that this technique provides many benefits for such cases and might be a feasible alternative for colon interposition.
腐蚀性物质摄入是一种高风险的医疗急症，与高死亡率和高发病率相关。迄今为止，有多种治疗选择，但没有标准的治疗方法。
我们报告了一例腐蚀性物质摄入并发三度烧伤和食管及胃出口严重狭窄的病例。在保守治疗失败后，患者接受了空肠造口术以提供营养支持，随后进行经食管裂孔食管切除术、胃上提和胸内 Roux-en-Y 胃肠吻合术，结果良好。患者术后恢复良好，能够耐受口服摄入，体重显著增加。
我们提出了一种新的技术，用于治疗腐蚀性物质摄入导致的严重胃肠道损伤，包括食管和胃出口狭窄。这些罕见的复杂病例需要做出困难的治疗决策。我们相信，这种技术为这类病例提供了许多益处，可能是结肠间置术的一种可行替代方法。
