{"id":2600,"date":"2018-03-29T10:16:00","date_gmt":"2018-03-29T13:16:00","guid":{"rendered":"https:\/\/revistaabcd.org.br\/?p=2600"},"modified":"2022-05-25T10:30:24","modified_gmt":"2022-05-25T13:30:24","slug":"pharyngo-ileo-colo-anastomosis-with-micro-vascular-blood-supply-augmentation-for-esophago-gastric-replacement-due-to-esophago-gastric-necrosis-after-caustic-ingestion","status":"publish","type":"post","link":"https:\/\/revistaabcd.org.br\/pt-br\/pharyngo-ileo-colo-anastomosis-with-micro-vascular-blood-supply-augmentation-for-esophago-gastric-replacement-due-to-esophago-gastric-necrosis-after-caustic-ingestion\/","title":{"rendered":"PHARYNGO-ILEO-COLO-ANASTOMOSIS WITH MICRO-VASCULAR BLOOD SUPPLY AUGMENTATION FOR ESOPHAGO-GASTRIC REPLACEMENT DUE TO ESOPHAGO-GASTRIC NECROSIS AFTER CAUSTIC INGESTION"},"content":{"rendered":"<h2 class=\"wp-block-heading\"><strong><em>Background<\/em>&nbsp;<\/strong><strong>:<\/strong><\/h2>\n\n\n\n<p>Complete esophago-gastric necrosis after caustic ingestion is a challenging surgical scenario for reconstruction of the upper digestive transit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Aim<\/em>&nbsp;<\/strong><strong>:<\/strong><\/h2>\n\n\n\n<p>To present a surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy due to esophageal and gastric necrosis<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Method:<\/em><\/h2>\n\n\n\n<p>The transit was re-established by means of a pharyngo-ileo-colic interposition with microsurgical arterial and venous anastomosis for augmentation of blood supply. Colo-duodeno-anastomosis and ileo-transverse colic anastomosis were performed for complete digestive transit reconstruction.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Result:<\/em><\/h2>\n\n\n\n<p>This procedure was applied in a case of 41 years male attempted suicide by ingesting alkali caustic liquid (concentrated sodium hydroxide). Total necrosis of the esophagus and stomach occurred, which required initially total esophago-gastrectomy, closure at the level of the crico-pharyngeal sphincter and jejunostomy for enteral feeding with a highly deteriorated quality of life<strong><em>.<\/em><\/strong>&nbsp;The procedure was performed later and there were no major early and late postoperative complications and normal nutritional conditions were re-stablished.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><em>Conclusion:<\/em><\/h2>\n\n\n\n<p>The procedure is feasible and must be managed by multidisciplinary team in order to re-establish a normal quality of life.<\/p>","protected":false},"excerpt":{"rendered":"<p>Background&nbsp;: Complete esophago-gastric necrosis after caustic ingestion is a challenging surgical scenario for reconstruction of the upper digestive transit. Aim&nbsp;: To present a surgical technique for reconstruction of the upper digestive tract after total esophagectomy and gastrectomy due to esophageal and gastric necrosis Method: The transit was re-established by means of a pharyngo-ileo-colic interposition with [&hellip;]<\/p>","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[14],"tags":[171,696,148,697,109],"class_list":["post-2600","post","type-post","status-publish","format-standard","hentry","category-original-article-technique","tag-anastomosis","tag-ascending-colon","tag-esophagus","tag-necrosis","tag-surgery"],"acf":[],"modified_by":null,"_links":{"self":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2600"}],"collection":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/comments?post=2600"}],"version-history":[{"count":0,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/posts\/2600\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/media?parent=2600"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/categories?post=2600"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistaabcd.org.br\/pt-br\/wp-json\/wp\/v2\/tags?post=2600"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}