Clinical case report: Esophagus-Gastro-Pexia-Cervical for Esophageal Stenosis Secondary to Ingestion of Caustics
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Abstract
Introduction: Esophageal stenosis caused by the ingestion of corrosive substances or by caustics, is the atrophy or narrowing of the esophagus due to the damage caused by these substances in the tissues, it is intolerable and in certain cases can cause even death. The damage can be reversible or irreversible so making a correct diagnosis will lead us to an adequate and effective treatment. It is produced principally in the upper third of the esophagus.
Objective: To describe a clinical case of esophageal stricture.
Material and methods: Retrospective descriptive study to present a clinical case.
Results: We present the case of a 22-year-old female patient who came to the emergency area of the Hospital de Especialidades Eugenio Espejo with a history of jejunostomy due to esophageal stricture caused by caustic ingestion 3 years ago.
Conclusions: Esophageal burns due to caustic ingestion are frequent, therefore the doctor must take into account that surgical treatment for esophageal stricture is indicated when dilatations are not effective, when perforation occurs or when the risk of perforation is high and when there is a need to improve the quality of life of these patients obliged to periodic dilatations and/or feeding by gastrostomy or jejunostomy, as we saw in this case presented.
There is no consensus on which surgical technique is the best, as both esophagogastroplasty and esophagocoloplasty have their advantages and disadvantages, however the surgeon should be able to say which is the best for the patient.
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