Presentation
History of caustic ingestion followed by dysphagia and odynophagia.
Patient Data
A long-segment stricture with tapering is present in the distal half of the esophagus, typical for caustic ingestion stricture.
A small-sized sliding hiatal hernia is present.
The visualized stomach and duodenum appear normal.
Case Discussion
Barium contrast can be used in the chronic stage (after 21 days) of corrosive esophagitis, and often, there is a single long stricture with tapering involving the middle and lower esophagus. In acute and subacute stages, it's better to use a water-soluble contrast medium, and findings may include mucosal edema, ulceration and sloughing of the mucosa with esophageal dilatation and atony.
Esophageal perforation and increased incidence of squamous cell carcinoma of the affected segment are the main complications.
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