Citation

Faron M, Corte H, Poghosyan T, Bruzzi M, Voron T, Sarfati E, Cattan P, Chirica M. Ann. Surg. 2020; ePub(ePub): ePub.

Affiliation

Department of Digestive and Emergency Surgery, University Hospital of Grenoble, Grenoble Alpes University, Grenoble, France.

Copyright

(Copyright © 2020, Lippincott Williams and Wilkins)

DOI

10.1097/SLA.0000000000003774

PMID

31972647

Abstract

OBJECTIVE: The aim of the study was to evaluate long-term QOL after caustic ingestion.

BACKGROUND: Caustic ingestion strongly affects patient's QOL but data on the topic is scarce in the literature.

METHODS: QOL evaluation was conducted in survivors from a large cohort of patients with caustic injuries. QOL was assessed using the EORTC QLQ-OG25 module, the SF12v2 score, and the hospital anxiety and depression scale questionnaire. One hundred thirty-four patients (59 men, median age 43) completed the survey; 72 (54%) patients underwent emergency digestive resection and in 99 (74%) patients underwent esophageal reconstruction.

RESULTS of QOL questionnaires were compared to average values determined in healthy volunteers and in patients with esophageal cancers.

RESULTS: The median QLQ-OG25 score was 44 (34, 62) and values were significantly lower when compared to a normal population (P < 0.0001). SF12v2 scores were significantly inferior to those expected in a normal population on both the physical component summary (PCS) (43.3 ± 10.8; P < 0.0001) and the mental component summary (44 ± 9.7; P < 0.0001) scales. Emergency esophageal resection was significantly associated with higher QLQ-OG25 scores (P < 0.0001), but not with mental component summary (P = 0.3), PCS (P = 0.76), HAD anxiety (P = 0.95), and HAD depression scores (P = 0.59); results were similar after extended emergency resection. When compared to esophagocoloplasty alone, pharyngeal reconstruction had a significant negative impact on QLQ-OG25 (P < 0.0001), PCS (P = 0.01), and HAD depression (P = 0.0008) scores.

CONCLUSIONS: QOL is significantly impaired after caustic ingestion. QOL issues should not influence the emergency surgical strategy but deserve discussion before esophageal reconstruction for caustic injuries.

Language: en