[Total gastrectomy with esophageal exclusion following corrosive injury to the upper gastrointestinal tract]. 1994

S Péter, and O P Horváth, and L Bogár, and A Hertelendy
Pécsi OTE I. Sebészeti Klinika.

A case report of a young male patient is demonstrated who has drunk hydrochloric acid with intention of suicide. Because of an extensive necrosis of the stomach, total gastrectomy with double exclusion of the esophagus and with jejunostomy was performed as an acute intervention. 6 weeks after the acute operation, a successful esophagojejunal bypass was carried out using the right colon. It is well-known from the literature that a mucocele can develop in the excluded esophagus after such an operation. In some cases the mucocele causes compression signs. For this reason, a regular control of these patients is suggested.

UI MeSH Term Description Entries
D007582 Jejunostomy Surgical formation of an opening through the ABDOMINAL WALL into the JEJUNUM, usually for enteral hyperalimentation. Jejunostomies
D008297 Male Males
D009336 Necrosis The death of cells in an organ or tissue due to disease, injury or failure of the blood supply.
D002057 Burns, Chemical Burns caused by contact with or exposure to CAUSTICS or strong ACIDS. Chemical Burns,Burn, Chemical,Chemical Burn
D003343 Corrosion The gradual destruction of a metal or alloy due to oxidation or action of a chemical agent. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Corrosions
D004947 Esophagus The muscular membranous segment between the PHARYNX and the STOMACH in the UPPER GASTROINTESTINAL TRACT.
D005743 Gastrectomy Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed) Gastrectomies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006851 Hydrochloric Acid A strong corrosive acid that is commonly used as a laboratory reagent. It is formed by dissolving hydrogen chloride in water. GASTRIC ACID is the hydrochloric acid component of GASTRIC JUICE. Hydrogen Chloride,Muriatic Acid,Acid, Hydrochloric,Acid, Muriatic,Chloride, Hydrogen
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute

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