Reconstructive surgery for corrosive esophageal stricture was performed in 392 patients at National Medical Center from 1959 to 1990
Between Jan. 1971 and Dec. 1990, 23 cases were experienced stenotic anastoma of neck after reconstructive surgery for corrosive esophageal stricture.
The major procedure of esophageal reconstruction was colon interposition without resection of the strictured esophagus except jejunal interposition in 1 case.
There was 12 males & 11 females, and mean age was forty years. The caustic materials were 16(70%) alkali and 7 30%) acid. Half of the cases had hypopharyngeal injury.
After reconstructed surgery, dysphagia was developed immediate in 65%, from 2 months to 5 months in 31%, and from years in 4%(1 case). The complications were anastomatic leakage in 13 cases, anastomatic stenosis in 8 cases, graft gangrene in 1
case, and
cancer development in 1 case.
The therapeutic procedures were end-to-end anstomolis & partial resection of stenotic anastoma in 18 cases, bourgination in 2 cases, and coln interposition with graft removal in 3 cases.
The therapeutic results were excellent in 16 cases, mild discomfort in 3 cases, poor in 3 cases, and death in 1 cases.
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