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Esophageal strictures

By Dr.Pavan Kumar In GASTROINTESTINAL Posted July 20, 2019

Patient History : Corrosive osophageal stricture Surgery- Gastric pull up with oesophagogastrostomy
Gender:Male
Age:19 yea

FINDINGS:

  • There is evidence of narrowing of the contrast flow noted at the operative site at the level of C7- T1 [post cricoid region]. However no obvious contrast stasis noted. There is no evidence of leakage of barium at the anastomotic site.
  • There is evidence of long segment stricture of the esophagus from T7-T8 level  involving the lower part of the middle third and the distal third of the esophagus as evidenced by the contrast pooling at  T7-T8 level. However thin stream of contrast noted passing distally  joining the ?  duodenum.
  • The stomach is pulled up with straightening of the gastroduodenal junction.
  • Free flow of contrast noted through the gastric pull up. Evidence of a narrowing noted in the gastric pull up at its distal end. However distal flow of the contrast noted.

IMPRESSION:

Post gastric pull up with oesophagogastrostomy status, present study reveals
1. Narrowing at the operative site at the level of C7- T1 [post cricoid region] - ? Early stricture

2. Long segment stricture of lower part of middle third and the distal third of the esophagus.

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