Abstract
A 52-year-old female swallowed an alkali (a toilet wash containing 4% NaOH at pH 13.5) in a suicide attempt, who was under the treatment of episodes of convulsion. There was a history of mental detardation Stricture of the esophagus and stenosis of pylorus and antrum of the stomach were recognized 5 days after swallowing alkali. The patient was taken conservative treatment, but stricture of the esophagus did not improve. She was admitted to the hospital for operation of esophageal reconstruction. Esophageal reconstruction using pedunculated colon flap and pyloroplasty were performed 16 weeks after injury. In upper and lower portions of the esophagus, which are physical esophageal narrowings, the most of the mucous membrane was absent, thickening of the esophageal wall with fibrosis, which extended partially to serosa, was also recognized. In addition to regargitation of foods in the trachea following operation, pyloric stenosis appeared 4 weeks after operation. Feeding was discontinued temporarily, and gastrectomy was performed 6 months after esophageal reconstruction. After gastrectomy, symptoms of regargitation and pyloric stenosis abated. General condition of the patient improved thereafter, and she was discharged.
