Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube

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 strictu...

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Autores principales:	Arash khashayar, Ahmad Khaleghnejad Tabari, Leily Mohajerzadeh, Javad Ghoroubi, Mahdieh Samami
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2020
Materias:	esophagus substitution corrosive esophageal injury surgical outcomes Medicine R
Acceso en línea:	https://doaj.org/article/5d5e769bbaac4d2ca0ceb2ed8db1e9ff
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spelling	oai:doaj.org-article:5d5e769bbaac4d2ca0ceb2ed8db1e9ff2021-11-14T08:12:17ZOutcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube2783-243010.30476/acrr.2020.84600.1024https://doaj.org/article/5d5e769bbaac4d2ca0ceb2ed8db1e9ff2020-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46932_0dbc3c10981626126c4a81598a657ba2.pdfhttps://doaj.org/toc/2783-2430Background: 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.Arash khashayarAhmad Khaleghnejad TabariLeily MohajerzadehJavad GhoroubiMahdieh SamamiShiraz University of Medical Sciencesarticleesophagus substitutioncorrosive esophageal injurysurgical outcomesMedicineRENIranian Journal of Colorectal Research, Vol 8, Iss 3, Pp 125-128 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	esophagus substitution corrosive esophageal injury surgical outcomes Medicine R
spellingShingle	esophagus substitution corrosive esophageal injury surgical outcomes Medicine R Arash khashayar Ahmad Khaleghnejad Tabari Leily Mohajerzadeh Javad Ghoroubi Mahdieh Samami Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
description	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.
format	article
author	Arash khashayar Ahmad Khaleghnejad Tabari Leily Mohajerzadeh Javad Ghoroubi Mahdieh Samami
author_facet	Arash khashayar Ahmad Khaleghnejad Tabari Leily Mohajerzadeh Javad Ghoroubi Mahdieh Samami
author_sort	Arash khashayar
title	Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
title_short	Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
title_full	Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
title_fullStr	Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
title_full_unstemmed	Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
title_sort	outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube
publisher	Shiraz University of Medical Sciences
publishDate	2020
url	https://doaj.org/article/5d5e769bbaac4d2ca0ceb2ed8db1e9ff
work_keys_str_mv	AT arashkhashayar outcomesofesophagussubstitutioninthemanagementofcorrosiveesophagealinjuryinthreemethodscoloninterpositiongastricpullupandreversegastrictube AT ahmadkhaleghnejadtabari outcomesofesophagussubstitutioninthemanagementofcorrosiveesophagealinjuryinthreemethodscoloninterpositiongastricpullupandreversegastrictube AT leilymohajerzadeh outcomesofesophagussubstitutioninthemanagementofcorrosiveesophagealinjuryinthreemethodscoloninterpositiongastricpullupandreversegastrictube AT javadghoroubi outcomesofesophagussubstitutioninthemanagementofcorrosiveesophagealinjuryinthreemethodscoloninterpositiongastricpullupandreversegastrictube AT mahdiehsamami outcomesofesophagussubstitutioninthemanagementofcorrosiveesophagealinjuryinthreemethodscoloninterpositiongastricpullupandreversegastrictube
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Outcomes of esophagus substitution in the management of corrosive esophageal injury in three methods; colon interposition, gastric pull up, and reverse gastric tube

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