Abstract

CUENCA TORRES, Osmar; RAMIREZ SOTOMAYOR, Julio  and  MARTINEZ ARGUELLO, Deivis. Esophageal stenosis due to caustic ingestion. Rev. Nac. (Itauguá) [online]. 2012, vol.4, n.1, pp.52-56. ISSN 2072-8174.

ABSTRACT Chemicals are important causes of gastrointestinal tract lesions and usually involve two groups of patients: children under 5 years and adults who attempt suicide. The main complication of accidental ingestion is caustic esophageal stricture. Different forms of treatment have been used to treat esophageal stricture and on the frontline is the endoscopic dilation, with successful results in 60 to 80% of patients. If these are not effective, surgical treatment is indicated with esophageal replacement and the most common techniques are the two-way Ivor Lewis esophagectomy and transhiatal esophagectomy. We present a case of a male patient, aged 20 years, consulting in the Department of Surgery with difficulty to swallowing, with a history of accidental ingestion of caustic soda 2 months before. Imaging and endoscopic studies confirmed the diagnosis of esophageal stenosis of caustic ingestion. He underwent a transhiatal esophagectomy associated with a feeding jejunostomy. The complication was bilateral pneumothorax presented in the postoparative time, which was resolved with pleural drainage tube sealed under water. He was discharged from hospital in 15 days after surgery, with good oral tolerance.

Keywords : : esophageal stenosis; caustic ingestion; transhiatal esophagectomy.

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