Evidence map›Paper›PMID 39177755›Full record

ArticleSurgery today2025

Long-term outcomes of patients undergoing emergency surgery for corrosive injury of the upper digestive tract.

Thitiporn Chobarporn, Dudsadee Mesiri, Chadin Tharavej

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Thitiporn ChobarpornDepartment of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
Dudsadee MesiriDepartment of Surgery, King Chulalongkorn Memorial Hospital, Bangkok, 10330, Thailand.
Chadin TharavejDepartment of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand. chadin@gmail.com.ORCID http://orcid.org/0000-0001-6371-1801

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmergency surgery can save patients' lives in cases of severe caustic injury. However, the long-term outcomes are not well understood.

methodsPatients who underwent emergency organ resection for severe corrosive acid injury were included. Subsequently, digestive tract reconstruction was performed to fit patients. Long-term outcomes were analyzed.

resultsFifty patients underwent emergency digestive tract resection. The operative mortality rate was 6% (of 3/50). One of the 50 patients underwent successful immediate reconstruction. Of the 46 survivors with digestive tract discontinuity, 32 (70%) underwent subsequent reconstructive surgery, 10 (22%) died while awaiting reconstruction due to deterioration in their psychiatric and nutritional status, and 4 (9%) were unfit for reconstructive surgery. No operative mortality occurred during reconstruction. Among the 32 patients who underwent reconstruction, 30 (94%) achieved nutritional autonomy. Nutritional independence was achieved in 62% of the patients (31/50). At a median duration of 58 months, the median survival time of the 50 patients was 158 months. Patients who underwent reconstruction had a significantly better overall survival than those who did not (p < 0.0001).

conclusionsEmergency surgery remains the standard treatment for corrosive ingestion of complicated digestive tract injuries. However, only 60% of survivors can undergo subsequent digestive reconstruction and achieve long-term nutritional autonomy and a survival outcome.

Indexed as

Burns, ChemicalCausticsDigestive System Surgical ProceduresUpper Gastrointestinal TractAdolescentAdultAgedChildEmergenciesFemaleHumansMaleMiddle AgedPlastic Surgery ProceduresSurvival RateTime FactorsCausticsCaustic injuryCorrosive ingestionEmergency surgeryEsophageal replacement procedureNutritional autonomy

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.