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Tracheobronchial necrosis after caustic ingestion.
E Sarfati1, L Jacob, J M Servant
1Hôpital Saint Louis, Service de Chirurgie Viscérale, Paris, France.
The Journal of Thoracic and Cardiovascular Surgery
|March 1, 1992
Summary
Severe esophageal burns from caustic ingestion can lead to tracheobronchial perforation. A novel pulmonary patch technique offers a potential surgical solution for this rare but life-threatening complication.
Area of Science:
- Medicine
- Surgery
- Gastroenterology
Background:
- Caustic substance ingestion is a significant cause of esophageal injury.
- Severe cases can involve full-thickness esophageal necrosis and extend to adjacent structures.
- Tracheobronchial necrosis with perforation is a rare but critical complication.
Purpose of the Study:
- To report on patients with severe esophageal caustic burns and tracheobronchial perforation.
- To describe an original surgical technique for repairing tracheobronchial perforations.
Main Methods:
- Retrospective review of patients hospitalized for caustic ingestion between 1968 and 1988.
- Identification of patients with severe esophageal burns and tracheobronchial necrosis with perforation.
- Description of a novel surgical repair technique using a pulmonary patch.
Main Results:
- Out of 679 patients with caustic ingestion, 87 had severe esophageal burns.
- Twenty-one patients had tracheobronchial necrosis with perforation.
- Four out of six surgically treated patients with tracheobronchial perforation had successful outcomes using the described technique.
Conclusions:
- Tracheobronchial perforation is a severe complication of caustic esophageal injury.
- The described pulmonary patch technique represents an original and potentially successful method for repairing these perforations.