Abstract
A boy aged one year and eight months old who developed shock following lye ingestion was successfully resuscitated, but he subsequently developed severe stricture in the entire esophagus. Forty days after injury, total resection of the esophagus and retrocolic right colonic substiture were carried out. As a delayed anastomosis, a cervical end-to-side esophagocolostomy was done two months after the initial operation. The three weeks later, the cervical anastomosis developed severe stricture because the esophagus end was involved in injury. Two months after the previous operation, as a stricture-releasing operation, longitudinal incision and trasverse suture were performed and a stent T-tube was placed at the site of stricture. Two weeks after the operation the T-tube was removed and prophylactic dilatation was done once a week, four times in total, until discharge. The initial outcome was thought to be satisfactory, but a further dilatation procedure was required a few times during the three-year follow-up period.
Corrosive esophagitis reguiring total resection of the esophagus is only rarely seen in children. Management of corrosive esophagitis in children and surgical procedure for the reconstruction after total esophagectomy are discussed.
