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Arguments against long-term conservative treatment of oesophageaĺ strictures due to corrosive burns
  1. József Imre,
  2. Miklós Kopp
  1. The 1st Department of Surgery, Medical University, Szeged, Hungary
  2. Department of Radiology, Medical University, Szeged, Hungary

    Abstract

    Thirty-two patients are presented with late complications after a corrosive burn of the oesophagus. From this group of 32 cases 11 had fistulae and mediastinal abscesses after perforation of the gullet; 11 patients developed a tight peptic stricture in the narrowed oesophagus due to traction-type hiatal hernia as a result of the longitudinal contraction of the fibrotic oesophagus; cancer developed in the corrosive stricture in 10 patients, inoperable in five.

    Arguments against long-term conservative treatment of narrowed and fibrotic oesophageal strictures are presented. Early operation gives final relief from dysphagia and prevents late complications. The risk of intrathoracic oesophageal replacement with a segment of bowel/colon or jejunum in uncomplicated cases is 2·4% in our series of 42 cases.

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