| Workshop 15(JGES・JSGE) |
| Fri. November 22nd 14:00 - 17:00 Room 8: Portopia Hotel Main Building Kairaku 1+2 |
| The Role of Early Laparoscopy in Corrosive Injury of Esophagus and Stomach | |||
| Sheng-Shih Chen1, Yi-Pin Chou1 | |||
| 1Kaohsiung Veterans General Hospital | |||
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| Strong alkaloid or acid agents are usually applied as industry materials, which are dangerous to the human body due to their corrosive specialty. Ingestion of these agents usually induces severe chemical burn to the upper gastro-intestine tract. These injuries are usually caused by major depression in those who have attempted suicide. Most patients that intake a small volume of low concentration agents could be successfully managed with simple conservative treatment, especially in young adult patients. Close observation with no oral intake for two to three days, and with intravenous fluid supplements, are required for these patients. In patients with peritoneal signs, it means trans-mural necrosis has progressed, and hallowing organs perforations are even found. Damage control surgery (DCS) with an esophagectomy and gastrectomy are usually required. Some patients may even undergo successful medical treatment; however, esophageal or gastric stenosis may occur one to two months after ingestion. Managing these latter onset complications are difficult and complicated, as resection of the esophagus and stomach are usually required, and further reconstruction should also be performed. These strictures have relation with the agents retained in the upper gastro-intestine tract. For early removal of these corrosive agents, this study designs a method using a laparoscope for early drainage. We hope this method could decrease the rate of esophageal and gastric strictures |
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Index Term 1: Laparoscopy Index Term 2: Corrosive Injury of Esophagus |
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