[Outcome of the surgical treatment of chemical burns of the esophagus and stomach].
A A Zadorozhnyĭ, M A Krasil'nikova, P G Baĭdala
Abstract
A A Zadorozhnyĭ, M A Krasil'nikova, P G Baĭdala
Abstract
Results of the treatment of 70 patients with chemical burns of the stomach and esophagus were studied. Isolated burns of the stomach were diagnosed in 33 patients (47%), associated burns of the stomach and esophagus--in 37 patients (53%). The operation of choice for isolated burns of the stomach may be Billroth-2 resection, while for complete cicatrization of the stomach it was gastrectomy. In patients with associated injuries of the stomach and esophagus the curative methods should be chosen individually. In most cases due to pronounced emaciation they are to be divided into 2 steps. At the first step the conditions for nutrition of the patients are created (gastrostoma, enterostoma). At the second step--reconstructive operations are performed (plasty of the esophagus, gastroenteroanastomosis etc.).
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Results of the treatment of 70 patients with chemical burns of the stomach and esophagus were studied. Isolated burns of the stomach were diagnosed in 33 patients (47%), associated burns of the stomach and esophagus--in 37 patients (53%). The operation of choice for isolated burns of the stomach may be Billroth-2 resection, while for complete cicatrization of the stomach it was gastrectomy. In patients with associated injuries of the stomach and esophagus the curative methods should be chosen individually. In most cases due to pronounced emaciation they are to be divided into 2 steps. At the first step the conditions for nutrition of the patients are created (gastrostoma, enterostoma). At the second step--reconstructive operations are performed (plasty of the esophagus, gastroenteroanastomosis etc.).
Key concepts: Stomach, Esophagus, Medicine, Emaciation, Gastrectomy, Surgery, Billroth II, Chemical burn