ArticleCureus2026
Emergency Minimally Invasive Esophagogastrectomy and Delayed Esophagocoloplasty for Caustic Ingestion: A Stepwise Video-Based Approach.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Caustic ingestion is a rare but life-threatening condition that may require emergency surgery. While open surgery remains the standard approach, minimally invasive strategies are increasingly explored. Given the rarity of these cases, a standardized and reproducible approach aimed at improving outcomes is needed. In this context, a standardized stepwise technique for emergency minimally invasive total gastrectomy and transhiatal subtotal esophagectomy with cervical esophagostomy, followed by delayed reconstruction using transverse colon interposition, is described. Indications strictly followed World Society of Emergency Surgery (WSES) guidelines (Zargar ≥3a, transmural necrosis, or perforation). Six consecutive patients underwent emergency surgery. Mean operative time was 242 minutes, with one postoperative death due to sepsis. Delayed reconstruction was performed in four patients after a median of 9.5 months, with satisfactory clinical outcomes and no anastomotic leaks. Description of key technical steps is supported by a full-length annotated surgical video. A minimally invasive transhiatal approach is feasible in selected patients and may facilitate delayed reconstruction. Standardization of technique is essential to improve reproducibility in this challenging setting.
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