Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 127
  • Home
  • Print this page
  • Email this page
ORIGINAL RESEARCH REPORT
Year : 2019  |  Volume : 16  |  Issue : 3  |  Page : 81-86

Management of long segment corrosive esophageal stricture in children and adults: A 5 years' review


1 Department of Surgery, Cardiothoracic Unit, Aminu Kano Teaching Hospital, Kano, Nigeria
2 Department of Surgery, Paediatric Surgery Unit, Aminu Kano Teaching Hospital, Kano, Nigeria
3 Department of Surgery, Urology Unit, Aminu Kano Teaching Hospital, Kano, Nigeria
4 Department of Surgery, Cardiothoracic Unit, Usman Dan Fodio University Teaching Hospital, Sokoto, Nigeria
5 Department of Paediatrics, Federal Medical Centre, Nguru, Yobe State, Nigeria
6 Department of Paediatrics, Aminu Kano Teaching Hospital, Bayero University, Kano, Nigeria

Correspondence Address:
Dr. Ismail Mohammed Inuwa
Department of Surgery, Cardiothoracic Unit, Aminu Kano Teaching Hospital, Kano
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcls.jcls_24_19

Rights and Permissions

Introduction: The aim of this study is to highlight our experience in the management of long segment corrosive esophageal stricture using the left colon bypassing the strictured segment of the esophagus thereby maintaining continuity and restoring normal swallowing. Subjects and Methods: This was a retrospective study of patients with long-segment corrosive esophageal stricture who were managed by left colon bypass surgery in our center over a 5-year period between January 2012 and December 2016. Hospital records were reviewed and relevant information such as age, sex, clinical presentations, and operative procedure were obtained. The left colon grafts were taken under the pedicle of left colic artery in all cases, and three anastomoses were made at colocolic, cologastric, and colo-esophageal points. Feeding gastrostomy was done for all patients for early feeding. Results: There were 12 males (60%) and 8 females (40%) and age ranging from 2 years to 42 years; among them, there were 13 children (65%) and 7 adults (35%); caustic soda was the most common corrosive substance in 14 cases (70%) and acid in 2 cases (10%); the exact nature of the substances in 4 (20%) was not clear. Accidental ingestion was found in 90% of the cases. Psychiatric illness was associated in 2 adults (10%). Conclusion: The treatment of long segment corrosive esophageal stricture with left colon bypass graft surgery under the pedicle of the left colic artery is very effective with minimal postoperative complications; we, therefore, recommend this technique for relief of dysphasia from this form of injury.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed165    
    Printed18    
    Emailed0    
    PDF Downloaded47    
    Comments [Add]    

Recommend this journal