A case of corrosive esophagitis caused by alkali ingestion requiring an esophagectomy
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- NAITO Atsushi
- Osaka Prefectural Nakakawachi Medical Center of Acute Medicine
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- NISHIYAMA Kazutaka
- Osaka Prefectural Nakakawachi Medical Center of Acute Medicine
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- YASUIKE Junji
- Osaka Prefectural Nakakawachi Medical Center of Acute Medicine
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- KATO Noboru
- Osaka Prefectural Nakakawachi Medical Center of Acute Medicine
Bibliographic Information
- Other Title
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- 急性壊死期に食道切除術を行った腐食性食道炎の1例
- 症例 急性壊死期に食道切除術を行った腐食性食道炎の1例
- ショウレイ キュウセイ エシキ ニ ショクドウ セツジョジュツ オ オコナッタ フショクセイ ショクドウエン ノ 1レイ
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Abstract
A 58-year-old woman ingested 500 ml of alkali in a suicide attempt. Computed tomography (CT) showed a large fluid collection in the mediastinum around the esophagus. Gastrointestinal fiberscopy (GIF) showed a deep ulcer that was suspected of having a perforation. These findings suggested a corrosive esophagitis and danger of further perforation, which necessitated an esophagectomy. Surgical findings showed inflammation in the mediastinum around the esophagus, but no perforation was found. On histology, necrotic changes were seen throughout the entire mucous membrane. Corrosive esophagitis caused by alkali ingestion result in a delayed perforation. There is no consensus with respect to the extent of surgery required in the acute stage. However, it must be borne in mind that a perforation is fatal ; thus, the opportunity for a definitive solution should not be squandered.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 73 (2), 332-335, 2012
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282679828605440
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- NII Article ID
- 10030461848
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030739218
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed