OA07.3. Laparoscopic Surgery for Corrosive Esophageal Stricture: A Single-Center Experience

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ID: 325686
2026
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Ranked #103 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Benign Disease: Other Background Corrosive esophageal strictures predominantly affect young patients and often result in severe, long-term dysphagia. While endoscopic dilatation remains first-line therapy, definitive surgical reconstruction is required in refractory cases. Minimally invasive approaches may reduce morbidity while providing durable functional outcomes. Methods This retrospective observational study included patients with corrosive esophageal stricture who underwent definitive surgical reconstruction at a tertiary care hospital. Patients refractory to endoscopic dilatation were analyzed. Demographic variables (age, sex), operative variables (procedure type, operative time, blood loss), and postoperative outcomes were recorded. Surgical approaches included laparoscopic gastric pull-up, laparoscopic colonic pull-up, and open reconstruction. Primary outcome measures were perioperative mortality and major postoperative morbidity. Secondary outcome measures included operative duration, intraoperative blood loss, length of hospital stay, and functional outcome assessed by improvement in dysphagia. Complications such as anastomotic leak and need for postoperative endoscopic dilatation were documented. Follow-up data were collected prospectively for a mean duration of 24 months. Continuous variables were expressed as means or medians, and categorical variables as frequencies and percentages. Results A total of 37 patients underwent surgical reconstruction. Mean age was 27 years, with an almost equal male-to-female distribution. Laparoscopic gastric pull-up was performed in 20 patients (54.1%), laparoscopic colonic pull-up in 2 patients (5.4%), and open reconstruction in 15 patients (40.5%). Mean operative time was 3 hours for gastric pull-up and 6 hours for colonic pull-up. Mean intraoperative blood loss was 150–200 mL. Median hospital stay was 6 days following gastric pull-up and 8 days after colonic pull-up. There was no perioperative mortality (0%). Postoperative morbidity included cervical anastomotic leak in 2 patients (5.4%), both managed conservatively. During a mean follow-up of 24 months, 3 patients (8.1%) developed dysphagia requiring endoscopic dilatation, with subsequent symptomatic improvement. Conclusion Laparoscopic reconstruction for corrosive esophageal stricture is safe and effective in carefully selected patients. It provides acceptable operative times, minimal blood loss, low morbidity, and excellent functional outcomes. In experienced hands, minimally invasive gastric or colonic pull-up should be considered a preferred approach over open surgery for definitive management of complex corrosive esophageal strictures.
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Authors Amit Javed, Narola Yanger, Ankita Yadav, Tanvi Jain
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.051
URL
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