Esophageal Replacement for Caustic Stricture-A Brief Review
ADVANCED RESEARCH IN GASTROENTEROLOGY & HEPATOLOGY JUNIPER PUBLISHERS Authored by Abdelkader Boukerrouche Abstract Multi-disciplinary management, early diagnosis and treatment are the keys of success in patients with digestive severe caustic injury. Endoscopic dilations are the first treatment of esophageal stricture .Reconstructive surgery is an alternative option when the dilatations fail and which the objective is to restore the gut continuity and swallowing function with acceptable mortality and morbidity. Gastric and colon reconstruction are the two most used surgical procedures however the choice of procedure is based on anatomic conditions of patient and the surgeon experience. Sub strnal route and posterior mediastinum are the most employed approaches. The operative mortality has been increasingly decreased however the morbidity is still slightly higher. In this brief report, we review the preoperative assessment choice of graft organ...