Early endoscopic stent insertion for acute severe long-segment esophageal stricture

Abstract

A 69-year-old man presented with dysphagia after drinking a little water. Two weeks earlier, he had visited the emergency department with a sore throat and shortness of breath after ingesting lye 2 hours prior. Emergency esophagogastroduodenoscopy and chest computed tomography revealed high-grade injury throughout most of the oropharynx (Fig. 1A and B) and esophagus (Fig. 1Cand D). He was hospitalized and managed conservatively and received broad-spectrum antibiotics intravenously. At his current presentation, esophagogastroduodenoscopy and esophagography revealed a severe mid-esophageal stricture (Fig. 2A and B).