Management of corrosive oesophageal injuries: a review

Authors

  • Samrat Ray Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
  • Naimish Mehta Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
  • Shailendra Lalwani Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
  • Vivek Mangla Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
  • Siddharth Mehrotra Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.
  • Samiran Nundy Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, India.

DOI:

https://doi.org/10.47811/XLLQ5973

Abstract

With the increasing incidence of corrosive oesophageal injuries, especially in the developing countries, understanding the
pathophysiology and the approach to its management in the emergency and elective settings has become of paramount importance
for the surgeon. The approach to the management varies depending on the time of the diagnosis and the location of injury.
Endoscopy plays a key role as the first step in the evaluation of such patients in the emergency as well as late elective setting.
With the advancement in endoscopic interventions, there has been a shift of preference towards the less invasive and less morbid
endoscopic techniques to address the late sequelae of corrosive oesophageal injuries. Refractory cases eventually merit surgery,
even at the cost of the morbidity and mortality associated with such procedures. The surgical approach also varies depending on
the location of the stricture, with the proximal 1/3rd strictures representing the most challenging location. A regular follow up and
endoscopic surveillance are needed in these patients to screen for any late complications such as cancer or dysmotility.

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Published

2020-10-23

How to Cite

Ray, S., Mehta, N., Lalwani, S., Mangla, V., Mehrotra, S., & Nundy, S. (2020). Management of corrosive oesophageal injuries: a review. Bhutan Health Journal, 2(2), 23-31. https://doi.org/10.47811/XLLQ5973

Issue

Section

Review Article