A 69-year-old man presented with dysphagia after drinking a little water. Two weeks earlier, he had visited the emergency department with a sore throat and shortness of breath after ingesting lye 2 hours prior. Emergency esophagogastroduodenoscopy and chest computed tomography revealed high-grade injury throughout most of the oropharynx (Fig. 1A and B) and esophagus (Fig. 1C and D). He was hospitalized and managed conservatively and received broad-spectrum antibiotics intravenously. At his current presentation, esophagogastroduodenoscopy and esophagography revealed a severe mid-esophageal stricture (Fig. 2A and B). To avoid surgery or difficult endoscopic procedure due to complete esophageal obstruction [
], fluoroscopy guided esophagogastroduodenoscopy was performed, and a 12cm fully covered esophageal self-expanding metal stent (Hanarostent®, M.I. Tech, Co., Ltd., Korea) was successfully inserted; a long-segment esophageal stricture was confirmed (Fig. 2C and D). The patient's clinical condition gradually improved, and he was discharged on the seventh day after intervention. The esophageal stent was removed at his 3-month follow-up. Since then, esophageal balloon dilation is repeated each time the patient presents with dysphagia secondary to the development of recurrent esophageal stricture.
- Kachaamy T.
- Lott D.
- Crujido L.R.
- et al.
Esophageal luminal restoration for a patient with a long lye-induced stricture via tunnel endoscopic therapy during a rendezvous procedure followed by self-dilation (with video).
Gastrointest Endosc. 2014; 80: 192-194
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- Esophageal luminal restoration for a patient with a long lye-induced stricture via tunnel endoscopic therapy during a rendezvous procedure followed by self-dilation (with video).Gastrointest Endosc. 2014; 80: 192-194
Published online: August 17, 2020
Accepted: July 23, 2020
Received: July 19, 2020
© 2020 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.