Citation

Naoki M, Hiromasa F, Susumu S, Toshiaki T, Yuichi T, Hiroko S, Satoru M, Mie L, Hideaki Y, Kazuo S. Japanese Journal of Gastroenterological Surgery 2005; 38(11): 1684-1689.

Copyright

(Copyright © 2005)

DOI

10.5833/jjgs.38.1684

PMID

unavailable

Abstract

We report two patients who underwent surgical treatment for corrosive stricture of both the hypopharynx and the esophagus. Case 1 was a 47-year-old man with schizophrenia who had drunk 10% KOH-a commonly available cleaning agent. He underwent cervical and mediastininal drainage due to esophageal perforation. On the 209th day after swallowing the hydroxide, he underwent resection of the hypopharynx, larynx, and cervical esophagus followed by an esophageal bypass using the colon. The postoperative course was uneventful. He was able to take solid food and was discharged on the 95 th day after the operation. Case 2 was a 58-year-old woman with depression who had attempted suicide with KOH and NaOH cleaning fluid. We performed an esophageal bypass using the colon without laryngectomy on the 323rd day after swallowing the hydroxide. Postoperatively, she could not take food orally due to repeated aspiration. We therefore performed laryngeal pull-up on the 181st postoperative day. Aspiration was still not improved, so she underwent laryngectomy on the 219th day after the 1st operation. Finally, she could take solid food, and was discharged. In choosing the operative procedure to treat corrosive stricture of the hypopharynx and the esophagus, especially whether or not to preserve the larynx, required considerations include the extent of the hypopharyngeal injury, the will and consent of the patient and family, and the patient's background including who takes care of the patient, because such patients frequently have some mental illness. ©2005 The Japanese Society of Gastroenterological Surgery.

Language: ja

Keywords

adult; human; female; male; case report; depression; schizophrenia; food; food intake; suicide attempt; article; drinking; hospital discharge; esophagus perforation; postoperative period; esophagus stricture; sodium hydroxide; bypass surgery; swallowing; corrosion; laryngectomy; aspiration; colon; Corrosive injury; Esophageal bypass surgery; esophagus surgery; hypopharynx; hypopharynx stricture; larynx surgery; pharynx disease; potassium hydroxide; Stricture of the hypopharynx and the esophagus; surgical drainage