A Case of Corrosive Injury-Induced Pharyngeal Stricture Treated by Endoscopic Adhesiolysis Using an Electrosurgical Knife
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Here, we report a case of corrosive injury-induced pharyngeal stricture in a 69-year-old female, which was successfully treated with endoscopic adhesiolysis using an electrosurgical knife. The patient had ingested sodium hydroxide in an attempted suicide, and immediate endoscopy revealed corrosive injuries of the pharynx, esophagus, and stomach. When a liquid diet was permitted, she complained of nasal regurgitation of food. Follow-up endoscopy revealed several adhesive bands and a web-like scar that did not allow passage of the endoscope into the hypopharyngeal area. For treatment of the hypopharyngeal stricture, the otolaryngologist attempted to perform an excision of the fibrous bands around the esophageal inlet using microscissors passed through an esophagoscope, but this procedure was not effective. We then dissected the mucosal adhesion and incised the adhesive bands using an electrosurgical knife. After this procedure, nasal regurgitation of food no longer occurred. To our knowledge, this case is the first report of endoscopic adhesiolysis with an electrosurgical knife in a patient with a corrosive injury-induced pharyngeal stricture.
Abstract
Here, we report a case of corrosive injury-induced pharyngeal stricture in a 69-year-old female, which was successfully treated with endoscopic adhesiolysis using an electrosurgical knife. The patient had ingested sodium hydroxide in an attempted suicide, and immediate endoscopy revealed corrosive injuries of the pharynx, esophagus, and stomach. When a liquid diet was permitted, she complained of nasal regurgitation of food. Follow-up endoscopy revealed several adhesive bands and a web-like scar that did not allow passage of the endoscope into the hypopharyngeal area. For treatment of the hypopharyngeal stricture, the otolaryngologist attempted to perform an excision of the fibrous bands around the esophageal inlet using microscissors passed through an esophagoscope, but this procedure was not effective. We then dissected the mucosal adhesion and incised the adhesive bands using an electrosurgical knife. After this procedure, nasal regurgitation of food no longer occurred. To our knowledge, this case is the first report of endoscopic adhesiolysis with an electrosurgical knife in a patient with a corrosive injury-induced pharyngeal stricture.
참고문헌 (12)
- Keh SM, "Corrosive injury to upper gastrointestinal tract: still a major surgical dilemma", World J Gastroenterol, 12, pp.5223~5228 (2006)
- Jobe BA, "Esophagus and diaphragmatic hernia, In Schwartz’s principles of surgery", pp.877~879 (2010), McGraw-Hill
- Mcquone SJ, "Management of pharyngeal and esophageal stenosis", Oper Tech Otolaryngol Head Neck Surg, 8, pp.231~241 (1997)
- Ananthakrishnan N, "Sternocleidomastoid muscle myocutaneous flap for corrosive pharyngoesophageal strictures", World J Surg, 31, pp.1592~1596 (2007)
- Wu MH, "Esophageal reconstruction for hypopharyngoesophageal strictures after corrosive injury", Eur J Cardiothorac Surg, 19, pp.400~405 (2001)
- Yannopoulos P, "Esophageal reconstruction with intraoperative dilatation of the hypopharynx for the management of chronic corrosive esophageal strictures: a technical tip", Eur J Cardiothorac Surg, 30, pp.940~942 (2006)
- Goldfarb A, "Severe pharyngeal stenosis after caustic ingestion", Isr Med Assoc J, 4, pp.305~ (2002)
- Piotet E, "Esophageal and pharyngeal strictures: report on 1,862 endoscopic dilatations using the Savary-Gilliard technique", Eur Arch Otorhinolaryngol, 265, pp.357~364 (2008)
- Kakushima N, "Endoscopic submucosal dissection for gastrointestinal neoplasms", World J Gastroenterol, 14, pp.2962~2967 (2008)
- DiSario JA, "Incision of recurrent distal esophageal (Schatzki) ring after dilation", Gastrointest Endosc, 56, pp.244~248 (2002)
- Brandimarte G, "Endoscopic treatment of benign anastomotic esophageal stenosis with electrocautery", Endoscopy, 34, pp.399~401 (2002)
- Lee TH, "Primary incisional therapy with a modified method for patients with benign anastomotic esophageal stricture", Gastrointest Endosc, 89, pp.1029~1033 (2009)