XXXX After Caustic Ingestion.

@entity1 @entity825 @entity130 @entity39
OBJECTIVE: The aim of this study was to describe the management and outcome of @entity39 ( @entity39 ) after caustic ingestion. BACKGROUND: Emergency pulmonary patch repair has been reported to be lifesaving in @entity1 with caustic @entity39 . METHODS: @entity1 who underwent management of caustic @entity39 between 1989 and 2013, were included. @entity39 was defined as early if present on admission and late if occurring thereafter. Operative outcomes, long-term survival, and functional outcomes were compared with those of 269 @entity1 without @entity39 who underwent esophagectomy for @entity130 . RESULTS: Twenty @entity1 were included (10 @entity1 ; median age = 39 years). Early @entity39 was detected in 14 @entity1 , and late @entity39 occurred in 7 @entity1 , 8 days (range: 6-10 days) after admission. @entity39 involved the left bronchus (n = 17; 85%), the carina (n = 10; 50%), the supracarinal @entity825 (n = 9; 45%), the right bronchus (n = 4; 20%), and the cervical @entity825 (n = 3; 15%). Seventeen @entity1 underwent esophagogastrectomy, 2 underwent esophagectomy, and in 1 @entity1 , resection was eventually abandoned. Pulmonary patch repair was performed in 16 @entity1 (80%). Nine @entity1 (45%) died and morbidity was 100%. In univariate analysis, late @entity39 (P = 0.017) and acid ingestion (P = 0.002) were predictors of mortality. All survivors underwent restoring colopharyngoplasty. Five-year survival (28%) and functional success (25%) rates were significantly impaired when compared with esophagectomy @entity1 without @entity39 . CONCLUSIONS: @entity39 is one of the most devastating complications of caustic ingestion. Pulmonary patch repair is technically simple and can be lifesaving in this difficult situation.
