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Management of unusually extensive esophagogastric corrosive injuries: emergency measures and gastric reconstruction. | LitMetric

AI Article Synopsis

  • Ingestion of corrosive substances typically leads to less frequent life-threatening symptoms, but may require emergency surgery due to severe damage to the esophagus or stomach.
  • After stabilizing the patient, surgeons plan a staged reconstruction of the alimentary tract, highlighting the need for familiarity with different gastric reconstruction techniques.
  • The authors illustrate their approach through two case studies, showcasing the management of gastrointestinal reconstruction in children, which often employs methods like the Hunt-Lawrence J pouch for gastric substitution.

Article Abstract

Ingestion of a corrosive substance only rarely presents with life-threatening symptoms because of acute necrosis of the esophagus and/or stomach and necessitates emergency surgery. Once the patient is stabilized, a staged reconstruction of the alimentary tract is planned. The surgeon should be familiar with the various types of gastric reconstruction in conjunction with or without esophageal replacement. The authors report 2 illustrative cases, which presented severe symptoms after corrosive substance ingestion, to emphasize the important aspects of management of this condition. The reconstruction of the gastrointestinal tract in children is managed with a staged approach using various methods, including Hunt-Lawrence J pouch gastric substitution.

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Source
http://dx.doi.org/10.1016/j.jpedsurg.2009.02.001DOI Listing

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