Caregiver burden of families of children with corrosive esophageal injuries

This cross-sectional and descriptive study aimed to determine care burden of families of children with corrosive esophageal injuries. The study involved 112 parents who had children with corrosive esophageal injury. Caregiver’s Stress Scale and Reactions to Helping Family Members Scale were used to assess care burden of families. Caregiver’s Stress Scale median score was 7.0 [interquartile range 5.0], and Reactions to Helping Family Members Scale median score was 45.0 [interquartile range 14.0]. The burden of family caregivers was thus found to be high. Factors affecting the care burden were found to be child’s age, parents’ age, child’s weight, substance type and pH, surgery status, and number of surgeries. Nurses should consider these factors when advising and educating these families. Additionally, initiatives including support groups should be planned with regard to the needs of these families with a high care burden.

Preoperative CT Colonoscopy for Esophageal Reconstruction with Colonic Interposition.

Background Colonic evaluation is an essential step before proceeding with esophagectomy to reconstruct by colonic interposition. Colonoscopy is the standard practice for colorectal cancer screening, but it has a chance of failing cecal intubation and carries a risk of horrific complication by colonic perforation. CT colonography is a less invasive alternative method that has been reported as useful for colonoscopic screening in cases of average risk of colorectal cancer. This study set out to report our clinical experience and to evaluate CT colonoscopy in the preoperative process for colonic interposition of esophagectomy patients. Methods Data for esophagectomy with colonic interposition patients between March 2016 and December 2019 was retrospectively analyzed. Results Nineteen patients were included in this study with 13 in the esophageal cancer group and 6 in the corrosive esophageal injury group. The majority of conduits used ileocolonic graft. After colonic interposition, endoscopy was performed and no lesions of conduits were detected. Conclusion CT colonoscopy is a minimally invasive and reliable colonic evaluation method for the patient of average colorectal cancer risk who has undergone esophagectomy with colonic interposition.

Primary adenocarcinoma arising in esophageal colon interposition for corrosive esophageal injury: a case report and review of the literature

Background and study aims Colon interposition for benign strictures is associated with significant perioperative complications that carry high morbidity and mortality. Although rarely reported in the literature, adenocarcinoma can occur as a late complication in an interposed colonic segment. We report a case of a late-stage adenocarcinoma in a colonic interposition performed for benign esophageal stricture.