ESOPHAGOCELE DUE TO TWO TIMES CAUSTIC INGESTIONS: RESECTION THROUGH VIDEOTHORACOSCOPY.

Autor:	Alves IPF; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil., Tercioti Junior V; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil., Coelho Neto JS; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil., Ferrer JAP; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil., Andreollo NA; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil., Lopes LR; Universidade Estadual de Campinas, Faculty of Medical Sciences, Department of Surgery and Gastrocenter, Digestive Diseases Surgical Unit - Campinas (SP), Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery [Arq Bras Cir Dig] 2023 Jan 09; Vol. 35, pp. e1705. Date of Electronic Publication: 2023 Jan 09 (Print Publication: 2023).
DOI:	10.1590/0102-672020220002e1705
Abstrakt:	Background: Caustic ingestion is still a health problem of utmost importance in the West. In developing countries, this incident remains at increase and it is associated with unfavorable factors like social, economic, and educational handicaps, besides a lack of prevention. Esophagocele is a rare consequence of caustic ingestion. Aim: We aimed to describe a patient with multiple caustic ingestions who presented an esophagocele resected by videothoracoscopy. Methods: A woman ingested caustic soda when she was only 17 years old in a suicidal attempt during a depressive crisis. Initially, she was submitted to a retrosternal esophagocoloplasty with the maintenance of her damaged esophagus. After 1 year of this first surgery, she ingested caustic soda again in a new suicidal attempt. Her transposed large bowel in the first surgery became narrow, being replaced in a second surgery by a retrosternal esophagogastroplasty. Still, at the second surgery, her damaged esophagus remained in its original position in the posterior mediastinum. However, after 5 years, she developed an esophagocele. Results: The esophagocele was resected through videothoracoscopy in a prone position, employing four trocars. The postoperative was uneventful. Conclusion: Esophageal exclusion must always be recorded because esophagocele presents unspecific symptoms. The videothoracoscopy in a prone position is an excellent technical option to resect esophagoceles.
Databáze:	MEDLINE
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