Sustitución esofágica por tubo gástrico invertido a raíz de estenosis esofágica por ingesta de cáusticos (presentación de caso). Hospital Infantil Robert Reid Cabral (HIRRC), República Dominicana
Date
Subject
Caustics
Esophageal Stenosis
Esophagus
Esophageal Substitution
Gastric Tube
Cáusticos
Estenosis Esofágica
Esófago
Sustitución Esofágica
Tubo Gástrico
Esophageal Stenosis
Esophagus
Esophageal Substitution
Gastric Tube
Cáusticos
Estenosis Esofágica
Esófago
Sustitución Esofágica
Tubo Gástrico
Language:
Journal Title
Journal ISSN
Volume Title
Publisher
Intituto Tecnológico de Santo Domingo (INTEC)
Introducción: la lesión esofágica por cáusticos debida a la ingestión de álcalis o, con menos frecuencia, ácidos, puede ser accidental en niños o por intento de suicidio en adolescentes y adultos. La secuela esofágica de la ingestión de un cáustico es una cicatriz en la pared del esófago que se relaciona con frecuencia con la formación de estenosis intensa y en muchas ocasiones, se requiere de un conducto que restablezca la función del esófago.
Material y método: en el siguiente trabajo se expone el caso clínico de un paciente masculino de 7 años de edad, presentando sialorrea y dificultad para la deglución debido a ingesta de sustancia cáustica de manera accidental. Se realizó endoscopia que reporta estenosis esofágica de 2 mm, para garantizar su alimentación se le practicó una gastrostomía. No fue posible el esquema de dilatación, con la necesidad de proceder a una sustitución esofágica por tubo gástrico invertido vía retroesternal. Presentó una complicación postquirúrgica de neumotórax. Una estancia de 12 días con inicio de la vía oral a los 11 días de postquirúrgico, previa realización de esofagograma.
Conclusión el propósito consiste en describir la presentación y el progreso clínico del paciente luego de esta técnica de sustitución esofágica por tubo gástrico invertido vía retroesternal.
Introduction: caustic esophageal injury due to ingestion of alkalis or, less frequently, acids, may be accidental in children or by attempted suicide in adolescents and adults. The esophageal sequela of the ingestion of a caustic is a scar on the wall of the esophagus that is often related to the formation of severe stenosis and in many cases, it requires a conduit to restore the function of the esophagus. Material and method: in the following work the clinical case of a male patient of 7 years of age is presented, presenting hypersalivation and difficulty in swallowing due to ingestion of caustic substance accidentally, endoscopy was performed reporting esophageal stenosis of 2 mm, to guarantee its feeding was a gastrostomy, the dilatation scheme was not possible, with the need to proceed to an esophageal replacement by inverted gastric tube via retrosternal. He presented a postoperative complication of pneumothorax. A 12 day stay with beginning of the oral route at 11 days post-surgery after performing an esophagogram. Conclusion: the purpose is to describe the presentation and clinical progress of the patient after this technique of esophageal replacement by inverted gastric tube via retrosternal.
Introduction: caustic esophageal injury due to ingestion of alkalis or, less frequently, acids, may be accidental in children or by attempted suicide in adolescents and adults. The esophageal sequela of the ingestion of a caustic is a scar on the wall of the esophagus that is often related to the formation of severe stenosis and in many cases, it requires a conduit to restore the function of the esophagus. Material and method: in the following work the clinical case of a male patient of 7 years of age is presented, presenting hypersalivation and difficulty in swallowing due to ingestion of caustic substance accidentally, endoscopy was performed reporting esophageal stenosis of 2 mm, to guarantee its feeding was a gastrostomy, the dilatation scheme was not possible, with the need to proceed to an esophageal replacement by inverted gastric tube via retrosternal. He presented a postoperative complication of pneumothorax. A 12 day stay with beginning of the oral route at 11 days post-surgery after performing an esophagogram. Conclusion: the purpose is to describe the presentation and clinical progress of the patient after this technique of esophageal replacement by inverted gastric tube via retrosternal.
Description
Type
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/publishedVersion
Source
Science and Health; Vol 3 No 1 (2019): Science and Health, january-april; 67-72
Ciencia y Salud; Vol. 3 Núm. 1 (2019): Ciencia y Salud, enero-abril; 67-72
2613-8824
2613-8816
10.22206/cysa.2019.v3i1
Ciencia y Salud; Vol. 3 Núm. 1 (2019): Ciencia y Salud, enero-abril; 67-72
2613-8824
2613-8816
10.22206/cysa.2019.v3i1