[Severe combined corrosions of the esophagus and stomach--diagnostic and treatment].

For a 12 year period (1991-2002) 152 children aged from 2 to 17 years with severe caustic ingestion were treated at the University Department of Pediatric Surgery. 21 of them received severe combined lesions of the esophagus and the stomach. Early diagnostic gastroscopy was attempted in most of the children, followed by emergent laparotomy and appropriate surgical procedure including local or extended stomach resection, with or without esophagectomy. Four children underwent gastrectomy, transhiatal esophagectomy, jejunostomy. Two infants died in the early postoperative period. At the late phase of the corrosive disease 19 children underwent different surgical procedures: Nissen fundoplication (n=5), pyloroplasty (n=3), retrosternal colon transpositions (n=8).