Surgical Management of Corrosive Oesophageal Injury- Case Report

Author(s): Mohammed Fazil Ali1 , David Livingston2 , Peter Manoharan Chellappa3 , Nagarajan Palaniappan4 , Niranjan Kumar5 , Malla Ratna Maunika6

Ingestion of corrosive agents remains an important public health issue worldwide despite education and regulatory efforts to reduce the injuries caused by them. Incidence of corrosive injuries is still increasing in developing countries.1 Children contribute 80% of the total corrosive ingestion injury globally and accidental ingestion is the most common cause.2,3 30% of patients who present with ingestion of corrosive agents, have no injury to the oesophagus hence early endoscopy helps in promptly determining the extent of injury and plan appropriate management. Upper GI endoscopy within 24-48 hours of corrosive ingestion is found to be beneficial. More benefits are seen when the endoscopy is done as soon as possible.4,5 Many studies propose Isoperistaltic Left Colon as the best substitute for a strictured oesophagus.6 We are reporting a 47-year-old male with corrosive injury to the oesophagus. Oesophagocoloplasty was done for this patient with antiperistaltic, transverse, and left colon. The patient has experienced full recovery after the surgery. Here we are discussing the surgical management of oesophageal injury with corrosive poisoning.