TITLE:
Esophageal Replacements for Caustic Esophageal Stenosis in Adults about 9 Cases in Ouagadougou
AUTHORS:
Moussa Bazongo, Gilbert Patindé Bonkoungou, Lamine Mohamed Sissoko, Mamadou Windsouri, Clarisse Laure Yaméogo, Rodrigue Namékinsba Doamba, Adama Sawadogo, Sadio Yena, Adama Sanou
KEYWORDS:
Caustic Stenosis, Esophagus, Esophagoplasty
JOURNAL NAME:
Open Journal of Thoracic Surgery,
Vol.7 No.3,
August
29,
2017
ABSTRACT: Objective: To report our experience of the esophageal plasty for caustic stenosis
of the esophagus. Methods: Retrospective study of caustic stenosis of
the esophagus in patients aged over 15 years, operated in Ouagadougou from 2008
to 2016. Nine patients were operated. Patients ranged in age from 25 to 53
years. Caustic ingestion was voluntary in 6 cases. Psychiatric disorders were
confirmed in one case. The type of surgery and the postoperative evolution were
analyzed. Results: In 6 patients the plasty was preceded by a gastrostomy
or a feeding jejunostomy. The transplant, always placed in retro sternal
position, was colic in 8 cases and gastric in one case. The evolution was
marked by the occurrence of a cervical fistula in 5 cases, postoperative peritonitis
in 2 cases, parietal suppuration in 2 cases and pneumothorax in 3 cases. One
case of death was noted. After a follow-up of 6 months to 9 years, we noted a case of
dysphagia. Conclusion: Esophageal plasty is a saving gesture that
restores normal nutrition to the patient. It deserves to be promoted.