Li Xiaofang, Zou Liutao, Shi Lifeng, Zheng Xueting, Xu Cuifang, Guo Jichao
Department of Respiratory Medicine, The First Affiliated Hospital/College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China.
Department of Thoracic Surgery, Guangxi Chest Hospital, Liuzhou, China.
Front Oncol. 2024 Dec 12;14:1471603. doi: 10.3389/fonc.2024.1471603. eCollection 2024.
Esophageal stricture is the most common and disabling complication of esophageal injury caused by ingestion of corrosive substances. In our case, the patient developed esophageal stenosis due to ingestion of strong alkaline substances and underwent colon replacement surgery after repeated failed dilation treatments. After surgery, anastomotic stenosis and tracheocolonic fistula occurred successively, and the entire diagnosis and treatment cycle of this disease lasted for more than 20 years. Based on experience and the actual situation of the patient, we conclude that esophageal stents should be the primary treatment option, while tracheal stents should be carefully selected, and secondary surgery is not recommended.
食管狭窄是腐蚀性物质摄入导致的食管损伤最常见且致残的并发症。在我们的病例中，患者因摄入强碱性物质而出现食管狭窄，在反复扩张治疗失败后接受了结肠替代手术。术后，先后出现吻合口狭窄和气管结肠瘘，该疾病的整个诊治周期持续了20多年。根据经验和患者实际情况，我们得出结论，食管支架应作为主要治疗选择，气管支架应谨慎选择，不建议进行二次手术。
