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. 1972 Sep;27(5):594–598. doi: 10.1136/thx.27.5.594

Arguments against long-term conservative treatment of oesophageaĺ strictures due to corrosive burns

József Imre 1,2, Miklós Kopp 1,2
PMCID: PMC470561  PMID: 5083728

Abstract

Thirty-two patients are presented with late complications after a corrosive burn of the oesophagus. From this group of 32 cases 11 had fistulae and mediastinal abscesses after perforation of the gullet; 11 patients developed a tight peptic stricture in the narrowed oesophagus due to traction-type hiatal hernia as a result of the longitudinal contraction of the fibrotic oesophagus; cancer developed in the corrosive stricture in 10 patients, inoperable in five.

Arguments against long-term conservative treatment of narrowed and fibrotic oesophageal strictures are presented. Early operation gives final relief from dysphagia and prevents late complications. The risk of intrathoracic oesophageal replacement with a segment of bowel/colon or jejunum in uncomplicated cases is 2·4% in our series of 42 cases.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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