Abstract
Background: Both Conservative and aggressive surgical strategies have been advocated for the treatment of corrosive injuries of the upper
gastrointestinal tract but the optimal management is still a dilemma. The aim of this study was to report our experience with caustic upper gastrointestinal tract injuries in adult patients treated with a endoscopybased therapeutic protocol. This prospective clinical study 50 cases was carried out on patient of a Oesophageal stricture due to
corrosive ingestion admitted in Surgery Department, Govt. Medical College & Sir T. Hospital, Bhavanagar from Aug 2018 to Aug 2020 who had given inform written consent, after fulfillment of exclusion and
inclusion criteria Result: In this series, out of 50 cases, 20 cases
were male, 30 female. 40 (80%) cases were age group of 31–45 year, 05 (10%) were age group of 15–30 & 46–60 year with mean age of 36 year. Most common mode of ingestion was suicidal 39 (78%) compare to accidental 11 (22%) with the most common substance was House hold bleaches (5% Na Hydrochloride). Most common symptoms was Dysphagia, Vomiting, Weight loss Conclusion: Esophageal dilatation for post corrosive injury esophageal stricture relatively safe, acceptable
and easy in uncomplicated post acid ingestion esophageal stricture. Patient can start taking liquid diet on same day and can resume his or her routine activites quickly with little or no discomfort or pain.However Patient with uncomplicated post acid ingestion esophageal stricture require repeated upper G.I. scopy guided esophageal dilatation at regular interval.
Keywords: Esophageal dilatation; Non surgical management; Post acid ingestion esophageal stricture; Repeated dilatation.