Colonic Interposition for treatment of Esophageal Scar Stricture Following Corrosive Injuries
- VernacularTitle:结肠重建食管治疗食管腐蚀伤后疤痕狭窄
- Author:
Yaoguang JIANG
- Publication Type:Journal Article
- Keywords:
Scar stricture Esophagus Colonic interposition
- From:
Chinese Journal of Trauma
1991;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
The paper presents the experience of colonic interposition for scar stricture of the esophagus caused by corrosive injures in 30 cases in the past ten years. The caustic agent was lye in 27 cases (90) and acid in 3 cases (10%), in them two patients had severe gastric lesion. All cases were treated by the substernal colonic interposition procedure. The anastomotic sites were in the neck in 26 cases and in the pharynx in 4 cases. In this series transplantations with left part of colon were in 24 cases and right part of colon in 5 cases, and one case was undiscribable. There were 17 postoperative complications (56.7%) and two postoperative deaths. The commonest complication was cervical fistula (7 cases, 23.3%) and the most critical complication was part or complete necrosis (2 cases), one death was directly related to it. The most frequent cause of lye ingestion in Chongqing area and successful repair of anastomotic stenosis with flap of platysma myoides are also discussed in this paper.
