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Corrosive oesophagitis: an analysis of 50 cases
K S Rao1, N Ananthakrishnan, A Banerjee
1Department of Cardiothoracic Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
The Australian and New Zealand Journal of Surgery
|September 1, 1988
Summary
Corrosive injuries to the esophagus and stomach can cause strictures, leading to dysphagia. Both repeated dilatations and esophageal replacement offer satisfactory outcomes, with surgery providing a permanent solution for severe cases.
Area of Science:
- Gastroenterology
- Otolaryngology
- Surgical Oncology
Background:
- Corrosive injuries to the esophagus and stomach are a significant cause of morbidity.
- Strictures resulting from these injuries often lead to dysphagia, impacting quality of life.
Purpose of the Study:
- To analyze treatment outcomes for corrosive esophageal and gastric injuries.
- To evaluate the efficacy of repeated dilatations versus esophageal replacement.
Main Methods:
- Retrospective analysis of 50 consecutive patients treated between 1970 and 1981.
- Patients received either repeated dilatations or esophageal replacement surgery.
- Complications such as esophageal perforation were noted.
Main Results:
- 23 males and 27 females were treated for corrosive injuries.
- Most patients presented with dysphagia due to established strictures, with some having associated gastric strictures.
- Both treatment modalities yielded satisfactory results.
Conclusions:
- Repeated dilatations can be effective, but esophageal perforation is a risk.
- Esophageal replacement surgery offers a permanent solution for selected cases with multiple or long, dense strictures.
- Properly selected patients benefit significantly from surgical intervention.