TPTh 7.15 Combining Surgical Excellence with Socio-Economic Support for Oesophageal Reconstruction: A Cohort Study from a South Asia Resource-Limited Facility

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ID: 323985
2026
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Abstract
Abstract Background Corrosive oesophageal injury is a significant cause of morbidity in low- and middle-income countries, often resulting in lifelong disability due to delayed presentation and limited resources. This study evaluates a multidisciplinary clinical and socio-economic model designed to improve access and outcomes for oesophageal reconstruction in resource-limited settings. Objectives To assess perioperative and functional outcomes of oesophageal reconstruction using an integrated, protocol-driven multidisciplinary model for low-income patients with benign corrosive strictures. Participants Twenty-one consecutive patients with benign corrosive oesophageal strictures, predominantly from low or lower-middle socio-economic strata, who underwent oesophageal reconstruction. Variables Demographics, aetiology of injury, nutritional status, surgical technique, perioperative complications (Clavien–Dindo classification), hospital stay, and functional oral intake at follow-up. Results Median age was 35 years (IQR 28–48), with 76% female. Intentional ingestion was reported in 71% (mainly acids). Most patients (71%) were malnourished preoperatively. Right colon interposition was the primary procedure (81%). Median operative time was 11.5 hours (IQR 11–13). Short-term complications occurred in 57% (mostly minor). No graft necrosis or 30-day mortality was observed. Median hospital stay was 17 days (IQR 14–21). At a median 14-month follow-up, 90.5% achieved good or excellent functional oral intake; 9.5% were lost to follow-up. Conclusions In this resource-limited cohort, protocol-driven oesophageal reconstruction supported by structured socio-economic assistance resulted in zero perioperative mortality, high graft survival (95.2%), and excellent functional outcomes in over 90% of patients with follow-up. The multidisciplinary approach provides a practical model for equitable, high-quality surgical care in low-resource settings.
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openalex_W7172505129 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Muneeba Bint E Saeed, Ali Haider, Hemant Sharma
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.502
URL
https://doi.org/10.1093/bjs/znag087.502
Keywords Keywords not found

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