Management of Caustic Esophageal Stricture - A 10 Year Followup Study from the Developing World
Muhammad Manzoor UL Haque, Zain Majid*, Syed Mudassir Laeeq, Ghous Bux Soomro, Nasir Mehmood and Nasir Hassan Luck
Department of Hepato-Gastroenterology, Sindh Institute of Urology and Transplantation, SIUT, Karachi, Pakistan
*Corresponding Author: Zain Majid, Department of Hepato-Gastroenterology, Sindh Institute of Urology and Transplantation, SIUT, Karachi, Pakistan.
Received:
November 13, 2025; Published: November 30, 2025
Abstract
Introduction: Corrosive substance ingestion is commonly noted in the developing as well as the developed world, with children accounting for around 80% of the cases. Majority of these cases are accidental, while in adults are mostly due to suicidal intent.
Aims: We tried conducting an audit of patients diagnosed with corrosive ingestion, classifying them according to the Zarger classification, and outlined how they were managed.
Materials and Methods: We hereby in our study followed 21 patients over a period of 10 years and classified them and looked at their treatment along with their outcomes.
Results: Majority of whom belonged to the pediatric age group with acid ingestion seen in most of them. On EGD most of these patients fell in Zargers class IIA. Dilation via savary dilator was done in most cases with triamcinolone being used in refractory cases.
Conclusion: Hence our study highlights the timely management of caustic strictures is needed, with steroids being useful in refactory strictures.
Keywords: Caustic Ingestion; Savary Dilator; Suicide; Accidental Ingestion; Zarger’s Classification
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