Surgical management of esophageal stenosis due to ingestion of corrosive substances
•Corrosive ingestion is a significant challenge for healthcare support.•This study shows a single-institution experience of surgical treatment of esophageal stenosis due to corrosive substance ingestion.•The surgical intervention either by esophagectomy or esophageal bypass seems to show a high succ...
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| Veröffentlicht in: | The Journal of surgical research 2021-08, Vol.264, p.249-259 |
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| creator | Tustumi, Francisco Seguro, Francisco Carlos Bernal da Costa Szachnowicz, Sérgio Bianchi, Edno Tales Morrell, Andre Luiz Gioia da Silva, Matheus Oliveira Duarte, André Fonseca de Sousa, Jorge Henrique Bento Laureano, Gabriela Gomes da Rocha, Julio Rafael Mariano Sallum, Rubens Antonio Aissar Cecconello, Ivan |
| description | •Corrosive ingestion is a significant challenge for healthcare support.•This study shows a single-institution experience of surgical treatment of esophageal stenosis due to corrosive substance ingestion.•The surgical intervention either by esophagectomy or esophageal bypass seems to show a high success rate.•The outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.
Corrosive ingestion is a significant challenge for healthcare systems. Limited data are available regarding the best treatments, and there remains a lack of consensus about the optimal surgical approach and its outcomes. This study aims to review the current literature and show a single institution's experience regarding the surgical treatment of esophageal stenosis due to corrosive substance ingestion.
A retrospective review that accounted for demographics, psychiatric profiles, surgical procedures, and outcomes was performed. A systematic review of the literature was performed using PubMed.
In total, 27 surgical procedures for esophageal stenosis due to corrosive substance ingestion were performed from 2010 to 2019. Depression and drug abuse were diagnosed in 30% and 22% of the included patients, respectively. Esophagectomies and esophageal bypasses were performed in 13 and 14 patients, respectively. No 30-day mortality was recorded.
Surgical intervention either by esophagectomy or esophageal bypass results in durable relief from dysphagia. However, successful clinical outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams. |
| doi_str_mv | 10.1016/j.jss.2021.03.009 |
| format | Article |
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Corrosive ingestion is a significant challenge for healthcare systems. Limited data are available regarding the best treatments, and there remains a lack of consensus about the optimal surgical approach and its outcomes. This study aims to review the current literature and show a single institution's experience regarding the surgical treatment of esophageal stenosis due to corrosive substance ingestion.
A retrospective review that accounted for demographics, psychiatric profiles, surgical procedures, and outcomes was performed. A systematic review of the literature was performed using PubMed.
In total, 27 surgical procedures for esophageal stenosis due to corrosive substance ingestion were performed from 2010 to 2019. Depression and drug abuse were diagnosed in 30% and 22% of the included patients, respectively. Esophagectomies and esophageal bypasses were performed in 13 and 14 patients, respectively. No 30-day mortality was recorded.
Surgical intervention either by esophagectomy or esophageal bypass results in durable relief from dysphagia. However, successful clinical outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2021.03.009</identifier><identifier>PMID: 33839340</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Caustics ; Esophageal diseases ; Esophageal stenosis ; Esophagectomy ; Sodium hydroxide</subject><ispartof>The Journal of surgical research, 2021-08, Vol.264, p.249-259</ispartof><rights>2021</rights><rights>Copyright © 2021. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-6284c70912b296a4ee965acf431965c6de54f0c78378a54c367642a1570caddb3</citedby><cites>FETCH-LOGICAL-c353t-6284c70912b296a4ee965acf431965c6de54f0c78378a54c367642a1570caddb3</cites><orcidid>0000-0002-6238-3532 ; 0000-0001-6695-0496</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jss.2021.03.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33839340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tustumi, Francisco</creatorcontrib><creatorcontrib>Seguro, Francisco Carlos Bernal da Costa</creatorcontrib><creatorcontrib>Szachnowicz, Sérgio</creatorcontrib><creatorcontrib>Bianchi, Edno Tales</creatorcontrib><creatorcontrib>Morrell, Andre Luiz Gioia</creatorcontrib><creatorcontrib>da Silva, Matheus Oliveira</creatorcontrib><creatorcontrib>Duarte, André Fonseca</creatorcontrib><creatorcontrib>de Sousa, Jorge Henrique Bento</creatorcontrib><creatorcontrib>Laureano, Gabriela Gomes</creatorcontrib><creatorcontrib>da Rocha, Julio Rafael Mariano</creatorcontrib><creatorcontrib>Sallum, Rubens Antonio Aissar</creatorcontrib><creatorcontrib>Cecconello, Ivan</creatorcontrib><title>Surgical management of esophageal stenosis due to ingestion of corrosive substances</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>•Corrosive ingestion is a significant challenge for healthcare support.•This study shows a single-institution experience of surgical treatment of esophageal stenosis due to corrosive substance ingestion.•The surgical intervention either by esophagectomy or esophageal bypass seems to show a high success rate.•The outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.
Corrosive ingestion is a significant challenge for healthcare systems. Limited data are available regarding the best treatments, and there remains a lack of consensus about the optimal surgical approach and its outcomes. This study aims to review the current literature and show a single institution's experience regarding the surgical treatment of esophageal stenosis due to corrosive substance ingestion.
A retrospective review that accounted for demographics, psychiatric profiles, surgical procedures, and outcomes was performed. A systematic review of the literature was performed using PubMed.
In total, 27 surgical procedures for esophageal stenosis due to corrosive substance ingestion were performed from 2010 to 2019. Depression and drug abuse were diagnosed in 30% and 22% of the included patients, respectively. Esophagectomies and esophageal bypasses were performed in 13 and 14 patients, respectively. No 30-day mortality was recorded.
Surgical intervention either by esophagectomy or esophageal bypass results in durable relief from dysphagia. However, successful clinical outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.</description><subject>Caustics</subject><subject>Esophageal diseases</subject><subject>Esophageal stenosis</subject><subject>Esophagectomy</subject><subject>Sodium hydroxide</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LxDAQhoMoun78AC_So5fWyUfTFk8ifsGCB_Ucsul0zbJt1kwr-O_NsurRUzLMMy8zD2PnHAoOXF-tihVRIUDwAmQB0OyxGYemzGtdyX02AxAiVzWoI3ZMtIJUN5U8ZEdS1rKRCmbs5WWKS-_sOuvtYJfY4zBmocuQwuY91alBIw6BPGXthNkYMj8skUYfhi3nQoyp-YkZTQsa7eCQTtlBZ9eEZz_vCXu7v3u9fcznzw9Ptzfz3MlSjrkWtXIVNFwsRKOtQmx0aV2nJE8fp1ssVQeuqmVV21I5qSuthOVlBc627UKesMtd7iaGjyntZHpPDtdrO2CYyIiS87rRSkFC-Q51aVuK2JlN9L2NX4aD2bo0K5Ncmq1LA9Ikl2nm4id-WvTY_k38ykvA9Q7AdOSnx2jIeUwGWh_RjaYN_p_4bxDjhOw</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Tustumi, Francisco</creator><creator>Seguro, Francisco Carlos Bernal da Costa</creator><creator>Szachnowicz, Sérgio</creator><creator>Bianchi, Edno Tales</creator><creator>Morrell, Andre Luiz Gioia</creator><creator>da Silva, Matheus Oliveira</creator><creator>Duarte, André Fonseca</creator><creator>de Sousa, Jorge Henrique Bento</creator><creator>Laureano, Gabriela Gomes</creator><creator>da Rocha, Julio Rafael Mariano</creator><creator>Sallum, Rubens Antonio Aissar</creator><creator>Cecconello, Ivan</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6238-3532</orcidid><orcidid>https://orcid.org/0000-0001-6695-0496</orcidid></search><sort><creationdate>20210801</creationdate><title>Surgical management of esophageal stenosis due to ingestion of corrosive substances</title><author>Tustumi, Francisco ; Seguro, Francisco Carlos Bernal da Costa ; Szachnowicz, Sérgio ; Bianchi, Edno Tales ; Morrell, Andre Luiz Gioia ; da Silva, Matheus Oliveira ; Duarte, André Fonseca ; de Sousa, Jorge Henrique Bento ; Laureano, Gabriela Gomes ; da Rocha, Julio Rafael Mariano ; Sallum, Rubens Antonio Aissar ; Cecconello, Ivan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-6284c70912b296a4ee965acf431965c6de54f0c78378a54c367642a1570caddb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Caustics</topic><topic>Esophageal diseases</topic><topic>Esophageal stenosis</topic><topic>Esophagectomy</topic><topic>Sodium hydroxide</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tustumi, Francisco</creatorcontrib><creatorcontrib>Seguro, Francisco Carlos Bernal da Costa</creatorcontrib><creatorcontrib>Szachnowicz, Sérgio</creatorcontrib><creatorcontrib>Bianchi, Edno Tales</creatorcontrib><creatorcontrib>Morrell, Andre Luiz Gioia</creatorcontrib><creatorcontrib>da Silva, Matheus Oliveira</creatorcontrib><creatorcontrib>Duarte, André Fonseca</creatorcontrib><creatorcontrib>de Sousa, Jorge Henrique Bento</creatorcontrib><creatorcontrib>Laureano, Gabriela Gomes</creatorcontrib><creatorcontrib>da Rocha, Julio Rafael Mariano</creatorcontrib><creatorcontrib>Sallum, Rubens Antonio Aissar</creatorcontrib><creatorcontrib>Cecconello, Ivan</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tustumi, Francisco</au><au>Seguro, Francisco Carlos Bernal da Costa</au><au>Szachnowicz, Sérgio</au><au>Bianchi, Edno Tales</au><au>Morrell, Andre Luiz Gioia</au><au>da Silva, Matheus Oliveira</au><au>Duarte, André Fonseca</au><au>de Sousa, Jorge Henrique Bento</au><au>Laureano, Gabriela Gomes</au><au>da Rocha, Julio Rafael Mariano</au><au>Sallum, Rubens Antonio Aissar</au><au>Cecconello, Ivan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of esophageal stenosis due to ingestion of corrosive substances</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2021-08-01</date><risdate>2021</risdate><volume>264</volume><spage>249</spage><epage>259</epage><pages>249-259</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>•Corrosive ingestion is a significant challenge for healthcare support.•This study shows a single-institution experience of surgical treatment of esophageal stenosis due to corrosive substance ingestion.•The surgical intervention either by esophagectomy or esophageal bypass seems to show a high success rate.•The outcomes depend on a high-quality multidisciplinary network of esophageal and thoracic surgeons, intensivists, psychologists, psychiatrists, and nutritional teams.
Corrosive ingestion is a significant challenge for healthcare systems. Limited data are available regarding the best treatments, and there remains a lack of consensus about the optimal surgical approach and its outcomes. This study aims to review the current literature and show a single institution's experience regarding the surgical treatment of esophageal stenosis due to corrosive substance ingestion.
A retrospective review that accounted for demographics, psychiatric profiles, surgical procedures, and outcomes was performed. A systematic review of the literature was performed using PubMed.
In total, 27 surgical procedures for esophageal stenosis due to corrosive substance ingestion were performed from 2010 to 2019. Depression and drug abuse were diagnosed in 30% and 22% of the included patients, respectively. Esophagectomies and esophageal bypasses were performed in 13 and 14 patients, respectively. No 30-day mortality was recorded.
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| ispartof | The Journal of surgical research, 2021-08, Vol.264, p.249-259 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals Complete |
| subjects | Caustics Esophageal diseases Esophageal stenosis Esophagectomy Sodium hydroxide |
| title | Surgical management of esophageal stenosis due to ingestion of corrosive substances |
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