Esophageal stricture due to corrosive substance ingested and delayed management: A case report

Corrosive substance ingestion is a medical emergency that can lead to poor outcomes, though prompt and adequate treatment has been carried out, particularly in cases of delayed management. An Indonesian man, 36 years old, complained of continually vomiting after meals caused by ingesting a corrosive substance 3 months earlier, which had an impact wight loss of 25 kg. Besides, he also experienced tenderness in the epigastric and left hypochondriac areas. The first endoscopic examination revealed esophageal stricture. In the second endoscopy, dilation was performed with balloon-controlled radial expansion (CRE) and showed a stricture in the pyloric sphincter and corrosive damage IIIA, according to Zargar's classification. Despite 14 times of endoscopic performed combined with dilation and Triamcinolone Acetonide injection, the esophageal and pyloric strictures recurrence occurred several times. Therefore, he was stenting into esophageal patent to keep the lumen diameter constant. Esophageal stricture is a complication of corrosive substance ingestion that requires lengthy treatment. Local steroids are less likely to cause challenges during esophageal dilatation than systemic or oral steroids. Corrosive substance ingestion negatively impacts the upper gastrointestinal system; one of the case is esophageal stricture, which requires lengthy management of lumen narrowing recurrence.