Chronic complications of corrosive ingestion. Endoscopic management and outcome.

Dr.Tajamul Hussain Shah; Dr. Manzoor Ahmad Wani; Dr.Gul Javid; Dr.Showkat Ali Zargar; Dr. Ghulam Nabi Yatoo; Dr. Altaf Shah; Dr. Jaswinder Singh sodhi; Dr. Ghulam Mohammad Gulzar; Dr. Mushtaq Khan.

Volume : IX, Issue : VII, July - 2019

Chronic complications of corrosive ingestion. Endoscopic management and outcome.

Dr. Tajamul Hussain Shah, Dr. Manzoor Ahmad Wani, Dr. Gul Javid, Dr. Showkat Ali Zargar, Dr. Ghulam Nabi Yatoo, Dr. Altaf Shah, Dr. Jaswinder Singh Sodhi, Dr. Ghulam Mohammad Gulzar, Dr. Mushtaq Khan.

Abstract :

Background/Aims: The objective of the present study is to describe the chronic complications of corrosive ingestion and to assess the safety and efficacy of endoscopic therapy. Materials & Methods: This retrospective study was conducted in a tertiary care center. Records of patients with history of corrosive ingestion in last 10 years were reviewed. Data such as age, gender, caustic agent, site and degree of burn, types of treatment, complications, effectiveness and outcome of endoscopic therapy were analysed. Results: Out of 56 patients with history of corrosive ingestion, 34 patients (60.7%) developed chronic complications with esophageal stricture (ES) in 28 (50%) cases, ES with Gastric outlet obstruction (GOO) in 4 cases and GOO in 2 cases. 6 out of 19 patients with Grade IIa, and all 17 patients with Grade IIb burn developed stricture (p <0.001). 1 out of 3 with Grade IIIa injury developed stricture (2 died). Endoscopic therapy was effective in 19 patients (59.4%) and was more effective in patients with short strictures(85.7% vs 9%). Gastric strictures didn’t respond to dilatation and all patients went for surgery. Concomitant triamcinolone injection was done in 10 patients with refractory strictures but did not improve the overall outcome. Conclusion: Severity of corrosive strictures depends upon the severity of mucosal injury and endoscopic dilatation is safe and effective in esophageal strictures