Outcomes of Esophageal Bypass for Dysphagia in Corrosive Stricture Patients: A Prospective Study (Code-T0092)

Introduction: Corrosive esophageal strictures are a debilitating consequence of caustic ingestion, leading to progressive dysphagia and malnutrition. Esophageal bypass is a definitive surgical option for patients with severe, refractory strictures. This study evaluates the outcomes of esophageal bypass in such patients, focusing on functional improvement and postoperative quality of life.

Aims and Objectives:

Aim

• To assess outcomes of esophageal bypass in corrosive stricture patients.

Objective

• To assess improvement in Dysphagia after Esophageal bypass.
• To estimate Morbidity following the esophageal bypass

Methods: A prospective study was conducted at a tertiary care center from 2021 to 2024, involving 30 patients diagnosed with severe corrosive esophageal strictures. Patients underwent esophageal bypass using gastric or colonic interposition. Data on preoperative status, surgical technique, and postoperative recovery were collected. Dysphagia scoring, nutritional status, and quality of life were evaluated preoperatively and during follow-up at 1, 3, and 6 months.

Results: Esophageal bypass significantly improved dysphagia scores in 90% of patients, with marked gains in nutritional parameters. Early complications included anastomotic leak (10%) and transient recurrent laryngeal nerve palsy (5%). Late complications such as stricture at the anastomosis site were observed in 7% of cases. Overall, 85% of patients reported a high satisfaction level with their ability to resume normal eating and social activities.

Conclusion: Esophageal bypass is a safe and effective solution for severe dysphagia in corrosive stricture patients. Early intervention and meticulous surgical planning are crucial for optimal outcomes.

Keywords: esophageal bypass, dysphagia, corrosive stricture, gastric interposition, colonic interposition, quality of life.