Laparoscopic transhiatal esophago-gastrectomy after corrosive injury

Dapri, Giovanni; Himpens, Jacques; Mouchart, A.; Ntounda, Ruffin; Claus, Marc; Dechamps, Philippe; Hainaux, Bernard; Kefif, R.; Germay, Olivier; Cadière, Guy-Bernard

doi:10.1007/s00464-007-9559-3

Cited by 8 publications

(3 citation statements)

References 10 publications

(15 reference statements)

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“…The decision to perform an emergency operation after corrosive ingestion is a life-changing event for the patient; in a recent report, the standard mortality ratio of patients operated for caustic necrosis was 21.5 when compared to the general population [45]. Laparotomy remains the standard approach in the emergency setting although successful laparoscopic management has been reported [61, 62]. All obvious transmural necrotic injuries should be resected during the initial procedure; reoperation should be undertaken promptly if ongoing necrosis is suspected [63].…”

Section: Methodsmentioning

confidence: 99%

Esophageal emergencies: WSES guidelines

et al. 2019

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The esophagus traverses three body compartments (neck, thorax, and abdomen) and is surrounded at each level by vital organs. Injuries to the esophagus may be classified as foreign body ingestion, caustic ingestion, esophageal perforation, and esophageal trauma. These lesions can be life-threatening either by digestive contamination of surrounding structures in case of esophageal wall breach or concomitant damage of surrounding organs. Early diagnosis and timely therapeutic intervention are the keys of successful management.

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Section: Methodsmentioning

confidence: 99%

Esophageal emergencies: WSES guidelines

et al. 2019

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“…В приоритет все чаще ставятся малоинвазивные операции, которые позволяют при помощи видеоэндоскопической техники с меньшими рисками выполнять многие стандартные оперативные вмешательства [17,18,19]. Преимущества этого направления заключаются в следующем: операционная рана имеет меньшие размеры, что делает менее выраженным послеоперационный рубец; лапароскоп обладает большой приближающей способностью, что улучшает оптические возможности при выполнении хирургических манипуляций; послеоперационный период в отношении остаточных болевых ощущений -менее отягощенный; моторика кишечника не нарушается, или нарушается, но с минимальными проявлениями дискомфорта; уменьшение периода пребывания пациента в стационаре, а также более ускоренные темпы трудовой и социальной реабилитации; низкий коэффициент встречаемости ранних и поздних постоперационных осложнений; параметры иммунитета затрагиваются в меньшей степени [20].…”

Section: результаты и обсуждениеunclassified

Laparoscopic Gastroenteroanastomosis for Gastric Outlet Obstruction Secondary to Accidental Acid Ingestion

Могилевец¹,

Соколов²,

Оганесян³

et al. 2020

Hepatol and Gastroenterol

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Background. A burn of the gastrointestinal tract due to the ingestion of corrosive substances is one of the most common causes leading to the development of persistent pathological changes. Objective. To analyze a clinical case of laparoscopic gastroenteroanastomosis in a patient with gastric outlet obstruction secondary to accidental acid ingestion. Material and methods. The laparoscopic gastroenteroanastomosis was successfully performed on a patient with gastric outlet obstruction secondary to accidental acid ingestion in October, 2019 at Grodno University Hospital. During the postoperative period, the patient was followed up and diagnostic observation was conducted. The patient’s medical record was analyzed as well. Results. The surgery proceeded uneventfully and lasted for 3 hours. Enteral feeding was initiated on the 3rd day after the operation and was delivered via a feeding tube using liquid diet. The postoperative period elapsed without complications. The patient was discharged from the hospital after nutritional status compensation on the 12th day after the operation. Conclusions. Laparoscopic gastroenteroanastomosis is a minimally invasive, easily tolerated and effective operation, and can be considered a good alternative to other modern surgical approaches to the treatment of post-burn pyloric stenosis.

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“…3,4 Visceral involvement is rare, more so for the stomach, since the organ has a robust blood supply. Although other causes of gastric necrosis/ gangrene including volvulus, 5 diaphragmatic hernia, 6 acute necrotizing gastritis, 7 caustic ingestion, 8 and acute pancreatitis 9 have been infrequently reported, gangrene of stomach due to APS is not known. This report describes two cases of gastric gangrene with primary APS of which one patient could be salvaged while the other succumbed to respiratory distress syndrome in the postoperative period.…”

Section: Introductionmentioning

confidence: 99%

Massive gangrene of the stomach due to primary antiphospholipid syndrome: Report of two cases

et al. 2010

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Antiphospholipid syndrome (APS) is a systemic autoimmune disease, which may be primary or secondary to other autoimmune diseases. It produces thrombosis of arteries and veins of any caliber, and no organ is immune to its insult. This report describes two cases of massive gastric gangrene due to primary APS, which presented in a span of 2 years. In the first case a multiparous, 40-year-old woman presented with acute abdominal pain, hematemesis, and progressive abdominal distension, and was in azotemia and shock. A laparotomy revealed gangrene of the stomach without any other organ involvement. She was managed with a total gastrectomy and esophagojejunal anastomosis. Postoperative serology revealed a persistent elevation of anticardiolipin antibody with no other apparent predisposing cause. The histopathological examination of the specimen revealed characteristic extensive intramural vascular thrombosis without inflammatory changes in the vessel wall, confirming antiphospholipid syndrome. The second patient was a primiparous, 26-year-old woman who had severe abdominal pain in the first trimester followed by shock. An exploratory laparotomy revealed massive gangrene of the stomach with complete loss of the posterior wall and hemoperitoneum. She also underwent a total gastrectomy with esophagogastric anastomosis and was later managed in the intensive care unit, where she succumbed within 8 days. Her serology showed a highly elevated anticardiolipin antibody titer, and histopathological examination of the stomach revealed characteristic intramural vascular thrombosis without inflammatory cellular infiltrate in the vessel wall. Patients undergoing a total gastrectomy following acute gastric necrosis have very high mortality (50%-80%). Its association with APS is rare and it has not been previously reported. The combination is a formidable challenge to the physician and a dangerous disease for the patient. The rarity of the condition and its grave prognosis is highlighted.

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Laparoscopic transhiatal esophago-gastrectomy after corrosive injury

Cited by 8 publications

References 10 publications

Esophageal emergencies: WSES guidelines

Esophageal emergencies: WSES guidelines

Laparoscopic Gastroenteroanastomosis for Gastric Outlet Obstruction Secondary to Accidental Acid Ingestion

Massive gangrene of the stomach due to primary antiphospholipid syndrome: Report of two cases

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