@article{ref1,
title="Corrosive injury of the upper gastrointestinal tract: Review of surgical management and outcome in 14 adult cases",
journal="Iranian Journal of Otorhinolaryngology",
year="2015",
author="Rajabi, M.T. and Maddah, G. and Bagheri, R. and Mehrabi, M. and Shabahang, H. and Lorestani, F.",
volume="27",
number="78",
pages="15-21",
abstract="INTRODUCTION: Caustic ingestion is responsible for a spectrum of upper gastrointestinal tract injury from self-limited to perforation. This study conducted to evaluate clinical characteristics as well as surgical outcomes in patients with caustic ingestion. <br><br>MATERIALS AND METHODS: Between Nov1993 to march 2011, 14 adults with a clinical evidence of corrosive ingestion were admitted into our institutions (Omid and Ghaem hospitals). Patients evaluated for etiology of erosion, location, type of surgery, morbidity and mortality after surgery. <br><br>RESULTS: 14 patients (10men and 4 women) with a age range between18-53 years were evaluated. In 6 patients, the injury was accidental and in 8 patients ingestion was a suicide attempt. Ingested agent included nitric acid in 4 patients, hydrochloric acid in 7 patients, sulfuric acid in 2 patients and strong alkali in one patient. The location and extent of lesion varied included esophagus in 13 cases, stomach in 7 cases and the pharynx in 3 cases. Acute abdomen was developed In 2 patients and a procedure of total gasterectomy and blunt esophagectomy was performed. In the remaining patients, substernal esophageal bypass in 2 patients, esophageal resection and replacement surgery in 9 patients and gastroenterostomy in one patient performed to relieve esophageal stricture. Two patients died of mediastinitis after esophageal replacement surgery. Postoperative strictures were developed in 2 survived patients with hypopharyngeal reconstruction that was managed by per oral bougienage in one patient and KTP Laser and stenting in the other patient. <br><br>CONCLUSION: Esophageal resection with replacement was safe and good technique for severe corrosive esophageal stricture with low mortality and morbidity.<p /><p>Language: en</p>",
language="en",
issn="2251-7251",
doi="",
url="http://dx.doi.org/"
}