Abstract
In the stricture of the esophagus, it has generally been accepted that either bouginage of the esophagus in the mild and limited stricture, or surgical reconstruction of the esophagus in the far-advanced and extended case are the treatment of choice.
Recent nine cases of corrosive stricture of the esophagus treated in Keio University Hospital were presented in this paper and its operative indication was discussed in comparison with the results of conservative treatment. Our treatments were consisted of conservative esophageal dilatation with bouginage together with the use of corticosteroids and reconstructive surgery of the esophagus.
In two cases the esophagus was reconstructed successfully using the right colon. However, our experience in two cases in which the left colon was used suggests that the prevention of such as necrosis of the transplanted colon, leakage at the site of anastomosis, and particularly regurgitation due to antiperistalsis is most important.
The pertinent management in this disease depends upon an early adequate treatment, however, even after cicatrication of the esophagus has been completed, surgical reconstruction of the esophagus should be performed after a long period of conservative dilation of the esophagus with bouginage in combination with administration of corticosteroids and antibiotics.
