Stenosis of the esophagus by exogenous chemical aggression. II . Clinical Studies

• Autor: Ubilluz Dhaga del Castillo, Rodrigo
• Formato: artículo
• Fecha de Publicación: 1964
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:revistasinvestigacion.unmsm.edu.pe:article/5956
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/5956
• Nivel de acceso: acceso abierto

Of a total of 20 patients we selected to constitute a homogeneous group , 12 adults who remained under control for a period of two years after perpetrating , suicidal deliberation , ingestion of corrosive substances of high capacity . A. roentgenológicamente proceeded to examine patients with acute erosive esophagitis within the first week. The intention for diagnostic esophagoscopy was performed under local anesthesia in 5 patients between the 10th and the 15th days , and before the 2nd month in 2 other subjects. No injuries in 3 patients who had drunk from 100 to 200 cubic centimeters of bleach or muriatic acid with definite suicidal intent was found : on with next are not subjected to dilations. On the other hand , was remarkable discrepancy between the directly visible injuries and apparent radiological normality . The total number of esophagoscopy , diagnostic and therapeutic , reached 31 in this series, no morbidity of the procedure itself . B. has been monitored for more than 2 years to 12 patients. 11 were subjected to expansion and two of them developed endoscopic demonstrable stenosis , logical radio or instrumentally . 2 and 7 patients with moderate narrowing with severe or very severe obstruction , five were very relieved and 5 were rated as "cured" . No surgical treatment in any case in this series was indicated by the basic indications for surgical action no show progressive or persistently impassable stenosis; Esophageal perforations and fistulas ; and lack of cooperation . In a total experience of more than 800 sessions expansion has been used different mechanical systems ; it was preferred , for the prophylaxis and therapy of the most cases , the metal olive slidable on a strand or wire conductors . It is our opinion that early dilation is recommended if lesions in the esophagus previously demonstrated by direct visual inspection. Permanent catheterization with thin polyethylene tubes or is harmless. Pyloric antrum - severe stenosis , consecutive ingestion of muriatic acid , forced gastroenteroanastomosis set in 6 cases . Gastric retention was revealed late when the mechanical esophageal dilation allowed free food intake. A case of jejunal stenosis was recorded with severe bowel obstruction in a patient who had undergone years before gastric resection and anastomosis gastroyeyuno . We reviewed the bibliographies of the literature.