Esophageal Stricture Post Accidental Corrosive Ingestion: A Case Report

Authors

  • Binita Gurubacharya Joshi Norvic Hospital, Thapathali, Kathmandu
  • Ritu Lamichhane Norvic Hospital, Thapathali, Kathmandu
  • Madhu Ghimire Norvic Hospital, Thapathali, Kathmandu

DOI:

https://doi.org/10.3126/jnps.v36i3.16299

Keywords:

Corrosive substance, esophagogastroduodenoscopy, esophageal stricture, dilatation

Abstract

Corrosive substance ingestion is a seriouspublic health hazard. Mostly, children are victim due to accidental ingestion occurring commonly in less than five years. Whether acid or alkali, the ingestion may have catastrophic effects and the outcomes can vary from minimal injury to perforation and death. Esophagogastroduodenoscopy should be done 12-24 hours of ingestion in order to assess the extent of mucosal injury. Esophageal stricture remains one of the major sequel usually seen after three weeks of ingestion. Endoluminal dilatation is current recommendation for initial treatment of stricture and surgery should follow for strictures refractory to dilatation. We here present a case of a five year old child with accidental corrosive ingestion at her school which led to esophageal stricture. She underwent multiple dilatation of stricture followed by esophageal corrective surgery which again led to post-surgical stricture requiring further dilatations.

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Author Biographies

Binita Gurubacharya Joshi, Norvic Hospital, Thapathali, Kathmandu

Consultant Pediatrician, Pediatric Gastroenterologist and Hepatologist

Ritu Lamichhane, Norvic Hospital, Thapathali, Kathmandu

Registrar, Department of Pediatrics

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Published

2017-04-16

How to Cite

Joshi, B. G., Lamichhane, R., & Ghimire, M. (2017). Esophageal Stricture Post Accidental Corrosive Ingestion: A Case Report. Journal of Nepal Paediatric Society, 36(3), 291–294. https://doi.org/10.3126/jnps.v36i3.16299

Issue

Section

Case Reports