Tuesday, February 28, 2012

CASE: Corrosive esophagial stricture - esophago colo plasty

14 yrs girl with accidental ingestion of corrosive poison before 3 yrs..was kept on dilatation for initial years and feeding gastrostomy... grade 4-5 dysphagial with undilatable esophagus and long stricture for last one year..

SURGERY: Esophago colo plasty (retrosternal condute, based on LCA)

dye study on POD 5 demonstrated no leak.

was started on oral liquids to semisolids..and discharged on POD 7. After one month feeding gastrostomy was removed as patient gained 2 kg wt with taking normal diet orally..and back to school on day 20.