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KMID : 0364019950280100935
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 10 p.935 ~ p.938
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Surgical Treatment for Acute Caustic Injury of the Hypopharynx, Esophagus, and Stomach -Two Cases-
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Abstract
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Two cases of severe caustic injury of the hypopharynx, esophagus, and stomach are presented. Restoration of digestive continuity was accomplished by retrosternal isoperistaltic interposition of the transverse and left colon on the post-injury
73rd
and
66th day respectively.The upper oro-coloncontinuity was made by a cervical approach, a vertical incision at the posterior hypopharyngeal wall, and interrupted one-layer sutures using 3-0 Dacron suture materials. The distal continuity was made by
colojejunostomy between the transposed colon and proximal jejunum. There was no event after the operation in both cases.
The posterior vertical hypopharyngotomy and hypopharyngocolostomy at the early post-injury period may be the preferred procedure to obtain normal deglutition in patients with esophageal stricture associated with hypopharyngeal injury.
(Korean J Thorac Cardiovasc Surg 1995;28:935-8)
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