Published: 2019-07-25

Minimally invasive oesophagectomy for corrosive stricture oesophagus

O. K. Prakashen, L. Soundara Rajan, K. Sivakumar, S. Rajendran


Corrosive oesophageal stricture is commonly encountered in developing countries. Historically resection of strictured oesophagus was feared due to adhesions but with minimally invasive surgery it is possible to resect esophagus.. A 19 year female patient with history of bed bug poisoning presented with complete dysphagia. On endoscopy there was upper thoracic esophageal stricture. Endoscopic dilatation of esophagus was tried at first but failed. Since her cervical oesophagus was not diseased and considering her young age for the risk of malignancy in long term, thoracoscopic oesophagectomy was done. There were no perioperative complications. Patient doing well on follow up.


Corrosive stricture, Oesophagectomy, VATS, Conduit, Case report

Full Text:



Lakshmi CP, Vijayahari RA, Kate V, Ananthakrishnan N. A hospital-based epidemiological study of corrosive alimentary injuries with particular reference to the Indian experience. Natl Med J India. 2013;26(1):31-6.

Contini S, Scarpignato C. Caustic injury of the upper gastrointestinal tract: a comprehensive review. WJG. 2013;19(25):3918-30.

Broor SL, Chari AK, Singal A, Misra SP, Kumar N, Sarin S, et al. Corrosive esophageal strictures following acid ingestion: clinical profile and results of endoscopic dilatation. J Gastroenterol Hepatol. 1989;4(1):55–61.

Gupta NM, Gupta R. Transhiatal esophageal resection for corrosive injury. Ann Surg. 2004;239(3):359-63.

Meena BL, Narayan KS, Goyal G, Sultania S, Nijhawan S. Corrosive injuries of the upper gastrointestinal tract. J Dig Endosc. 2017;8:165.

Agarwal S, Sikora SS, Kumar A, Saxena R, Kapoor VK. Surgical management of corrosive strictures of stomach. Indian J Gastroenterol. 2004;23(5):178–80.

Gvalani AK, Deolekar S, Gandhi J, Dalvi A. Antesternal colonic interposition for corrosive esophageal stricture. Indian J Surg. 2014;76(1):56-60.

Kim YT, Sung SW, Kim JH. Is it necessary to resect the diseased esophagus in performing reconstruction for corrosive esophageal stricture? Eur J Cardiothorac Surg. 2001;20(1):1-6.

Orringer MB, Marshall B, Chang AC, Lee J, Pickens A, Lau CL. Two thousand transhiatal esophagectomies: changing trends, lessons learned. Ann Surg. 2007;246(3):363-72.

Kane TD, Nwomeh BC, Nadler EP. Thoracoscopic-assisted esophagectomy and laparoscopic gastric pull-up for lye injury. JSLS. 2007;11(4):474-80.

Tharavej C, Navicharern P, Udomsawaengsup S, Pungpapong SA. Thoracoscopic approach for esophageal resection in chronic severe corrosive esophageal stricture: report of 2 cases. J Med Assoc Thai. 2010;93(9):1103-6.