1993 Volume 42 Pages 151-153
Esophageal stricture after corrosive injury has various stage and extent owing to the quality and quantity of causing materials, and often accompanies gastroduodenal lesions. Patients are often infants or adults who comitted suicide. Its surgical treatment differs from that of esophageal cancer.
A 43-year-old man drank lye (KOH65%・NaOH30%) for the purpose of suicide. Emergent esophago-gastro-intestinal endoscopy was performed. From the pharynx to the duodenal 2nd portion, severe erosion and petechia were observed. Ten days after injury, at the middle thoracic esophagus, complete stricture was recognized. One month later, when mucosal inflammation was settled, endoscopic dilatation therapy was performed. But it was not effective.
Then 3 months after injury, operation (esophageal resection under thoracotomy and laparotomy) was performed. Pathologically, over 10cm of the thoracic esophagus, mucosal layer was perfectly disappeared, and inflammatory cells, mainly lymphocyte, was seen throughout the proper muscle layer.
Post operative course was eventless, and patient has begun his work 2 months after operation.
