Delayed Management of Esophageal Stricture due to Caustic Ingestion: A Case Report

Abstract

Caustic ingestion usually carries superficial burns to extensive necrosis in the upper gastrointestinal tract and might cause complications, especially esophageal stricture. One of the dangerous substances accidentally ingested in large quantities is sodium lauryl sulfate, despite this being an alkaline substance commonly available in homes due to its used cleaning properties. Management of esophageal stricture with recurrence lumen stenosis may be required endoscopic dilation combined with stenting. Selecting stent material was crucial in minimizing post-installation losses and elevated nutritional intake.

Keywords: Caustic Ingestion; Endoscopic Dilation; Esophageal Stricture; Sodium Lauryl Sulfate.

Figure 1

The first endoscopic performed showed severe stenosis of the lumen at the esophageal sphincter proximal and a front of the esofageal junction.

Figure 2

The second esophageal endoscopy showed a complex esophageal stricture with pyloric stricture and corrosive injury type IIIA according to Zargar's classification.

Figure 3

The third esophageal endoscopy showed refractory esophageal lumen stenosis.