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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.

  1. ALLISON P. R., WOOLER G. H., GUNNING A. J. Esophagojejunogastrostomy. J Thorac Surg. 1957 Jun;33(6):738–748. [PubMed] [Google Scholar]
  2. ALVAREZ A. F., COLBERT J. G. LYE STRICTURE OF THE ESOPHAGUS COMPLICATED BY CARCINOMA. Can J Surg. 1963 Oct;6:470–476. [PubMed] [Google Scholar]
  3. BELSEY R. RECONSTRUCTION OF THE ESOPHAGUS WITH LEFT COLON. J Thorac Cardiovasc Surg. 1965 Jan;49:33–55. [PubMed] [Google Scholar]
  4. BIGELOW N. H. Carcinoma of the esophagus developing at the site of lye stricture. Cancer. 1953 Nov;6(6):1159–1164. doi: 10.1002/1097-0142(195311)6:6<1159::aid-cncr2820060606>3.0.co;2-b. [DOI] [PubMed] [Google Scholar]
  5. DOR J., REBOUD E., DEPIEDS R., HUMBERT P., MERCIER C. [Esophago-bronchial fistula caused by caustic stenosis of the esophagus]. Mars Chir. 1960 Oct-Dec;12:399–401. [PubMed] [Google Scholar]
  6. Imre J., Gergely M. Uber die Narbenkarzinome des osophagus. Thoraxchir Vask Chir. 1971 Jun;19(3):181–187. doi: 10.1055/s-0028-1099017. [DOI] [PubMed] [Google Scholar]
  7. Imre J., Horváth M., Altorjay I. Erfolgreiche Heilung einer nach korrosions-bedingter, hypopharyngo-zervikaler Osophagusstriktur aufgetretenen ösophago-broncho-pleuro-kutanen Fistel mittels substernaler Kolonplastik. Thoraxchir Vask Chir. 1968 Feb;16(1):68–74. doi: 10.1055/s-0028-1100500. [DOI] [PubMed] [Google Scholar]
  8. Imre J., Wooler G. Peptic ulceration of the oesophagus following corrosive burns. Thorax. 1969 Nov;24(6):762–764. doi: 10.1136/thx.24.6.762. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. MARCHAND P. Caustic strictures of the oesophagus. Thorax. 1955 Jun;10(2):171–181. doi: 10.1136/thx.10.2.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. MERENDINO K. A., DILLARD D. H. The concept of sphincter substitution by an interposed jejunal segment for anatomic and physiologic abnormalities at the esophagogastric junction; with special reference to reflux esophagitis, cardiospasm and esophageal varices. Ann Surg. 1955 Sep;142(3):486–506. doi: 10.1097/00000658-195509000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Moody F. G., Garrett J. M. Esophageal achalasia following lye ingestion. Ann Surg. 1969 Nov;170(5):775–784. doi: 10.1097/00000658-196911000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]

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