Management of corrosive esophageal burns in 149 cases

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Presentation transcript:

Management of corrosive esophageal burns in 149 cases Jing-Hai Zhou, MD, Yao-Guang Jiang, MD, Ru-Wen Wang, MD, Yi-Dan Lin, MD, Tai-Qian Gong, MD, Yun-Ping Zhao, MD, Zheng Ma, MD, Qun-You Tan, MD The Journal of Thoracic and Cardiovascular Surgery Volume 130, Issue 2, Pages 449.e1-449.e9 (August 2005) DOI: 10.1016/j.jtcvs.2005.02.029 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Correct position of the modified intraluminal stent. Catheter that suspended the upper end of the stent is fastened through the nostril, and its lower end, used as a feeding gastrostomy, is fixed on the abdominal wall. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Incision along the anterior border of the left sternocleidomastoid. B, Completeness of cervical esophageal stricture repair with a platysma myocutaneous flap. The skin flap is rolled up with the skin side facing the esophageal lumen. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Flow chart of summary of treatment modalities but miscellaneous procedures in the patients with caustic esophageal burns. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Detail of construction of the modified intraluminal stent. A 12F catheter is affixed to the proximal end and the distal end is transfixed with 10-0 thread. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Insertion of stent in an antegrade fashion by pulling the 2 strings of 10-0 filament of which are connected with the distal end each of the stent and the sheathed nasogastric tube. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Mobilization of the platysma myocutaneous flap. Anterior, superior, and inferior sides are extended through the platysma, but the posterior side through the skin only down to the muscle. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure E4 Suture of platysma myocutaneous flap to the incised esophageal stricture margin. The Journal of Thoracic and Cardiovascular Surgery 2005 130, 449.e1-449.e9DOI: (10.1016/j.jtcvs.2005.02.029) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions