ArticleWorld journal of surgery2014
Colon interposition graft for corrosive esophageal stricture: midterm functional outcome.
Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 30 citations in OpenAlex.
- A prospective randomized controlled trial of omeprazole for preventing esophageal stricture in grade 2b and 3a corrosive esophageal injuries.Surgical endoscopy · 2021Trial
- Successes and failures of using the intestine as a pedicled oesophageal substitute of corrosive burns.Scientific reports · 2025Article
- Endoscopic and surgical treatment of refractory caustic esophageal strictures.Surgical endoscopy · 2025Article
- Colonic interposition in esophagectomy: an ACS-NSQIP study.Surgical endoscopy · 2023Article
- Corrosive Esophageal Strictures: From Dilatation to Replacement: A Retrospective Cohort Study.Dysphagia · 2020Article
- Factors affecting the outcome of endoscopic dilatation in refractory post-corrosive oesophageal stricture in Egyptian children: a single-centre study.Esophagus : official journal of the Japan Esophageal Society · 2020Observational
- Colon Interposition for Corrosive Esophageal Stricture: Single Institution Experience with 119 Cases.Current medical science · 2019Article
- Halofuginone improves caustic-induced oxidative injury of esophagus in rats.Esophagus : official journal of the Japan Esophageal Society · 2018Article
- Bilayer silk fibroin grafts support functional oesophageal repair in a rodent model of caustic injury.Journal of tissue engineering and regenerative medicine · 2018Article
- Surgical Treatment Results of Burn-Related Oesophageal Strictures.World journal of surgery · 2017Article
- Clinical Spectrum and Management of Caustic Ingestion: A Case Series Presenting Three Opposing Outcomes.The American journal of case reports · 2016Article
- European perspective in Thoracic surgery-eso-coloplasty: when and how?Journal of thoracic disease · 2016Review
- Esophageal remnant cancer 35 years after acidic caustic injury: A case report.International journal of surgery case reports · 2016Article
- Foregut caustic injuries: results of the world society of emergency surgery consensus conference.World journal of emergency surgery : WJES · 2015Article
- Presentation and management outcome of childhood corrosive oesophageal injury in Benin City.African journal of paediatric surgery : AJPSArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCorrosive esophageal stricture is a major cause of morbidity among Nigerians. In most cases, this follows accidental or parasuicidal ingestion of caustic sodium hydroxide solution (NaOH) often used in the local production of soaps. Various treatment modalities have been advocated for the treatment of esophageal stricture. In this study, we review the results of our adopted technique in the past 10 years for pedicled colonic interposition.
methodsThis is a retrospective study of 21 patients who underwent substernal isoperistaltic pedicled colonic interposition graft for management of corrosive esophageal stricture. The right colon was pulled up into the neck in all the patients without resecting the strictured esophagus.
resultsLong segment strictures and multiple strictures were the main indications for the procedure. The mean duration of the procedure was 339.6 ± 71.1 min. The average intraoperative blood loss was 673.1 ± 398.1 mL. There were two (9.5 %) hospital mortalities. Graft infarction (9.5 %), cervical fistulae (19.0 %), and reflux neo-esophagitis (14.3 %) were the main non-fatal complications. In the mid-term, dysphagia was completely relieved in a little over 84 % (16/19) of patients, while one patient (4.8 %) still experienced reflux neo-esophagitis requiring treatment. There was no case of gross regurgitation or nocturnal aspiration in the mid-term.
conclusionsAlthough the use of pedicled colonic interposition graft offers a good mid-term functional outcome with relief of dysphagia, early postoperative morbidity is high. Graft infarction is the single most important factor for poor functional outcome and every effort must be made to prevent its occurrence.
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