Outcomes of Esophageal Replacement in the Management of Corrosive Esophageal Injuries Via Colon Interposition, Gastric Pull- Up, Or Reverse Gastric Tube

Introduction: corrosive esophageal injuries result in mucosal damage related to the type, exposure time, and volume of the ingested substance, ranging from mild burns to severe necrosis. these injuries are usually seen in childhood; stricture and dysphagia are common. swallowing problems are due to prolonged stricture and require surgery. however, postoperative problems should also be considered. the purpose of this study was to determine the results of esophageal replacement in the management of corrosive esophageal injury via three methods: colon interposition, gastric pull-up, and reverse gastric tube. methods: in this observational descriptive-comparative study, 50 consecutive patients admitted to mofid children’s hospital with corrosive esophageal injury from 2006 to 2016 were enrolled, and the results of esophageal replacement by colon interposition, gastric pull-up, or reverse gastric tube were determined and compared according to other variables. results: the results of this study demonstrated that 68% of the patients required surgery, with 82.3% undergoing repeated surgery. a total of 22 patients underwent surgery via the gastric pull-up method, which was the most successful procedure. esophageal stricture (74%), vomiting (46%), and dysphagia (40%) were the most common preoperative complaints, whereas dysphagia (46%), stricture (36%), and vomiting (26%) were the most common postoperative problems. there were four cases of mortality. conclusion: according to the obtained results, it may be concluded that esophageal replacement in the management of corrosive esophageal injuries is effective, and that the gastric pull-up method is the best surgical option.