Case Report : Colon Interposition As a Treatment for

Oesophagus and pyloric antrum strictures caused by

caustic agent ingestion

Andry Irawan* Abdul Mughni Rozi**

* General surgery resident Diponegoro University / Kariadi Hospital Semarang

** Digestive surgery Staff Diponegoro University / Kariadi Hospital Semarang

Abstract

Introduction

Swallowing caustic agents can cause severe and progresive damage to the stomach
and the esophagus. Most often occurs in children - because children accidentally ingested or
in adults due to a suicide attempt. Chemicals as acids and bases often cause chemical burns.
In some cases develop complications such as stricture causing difficulty in swallowing. The
literature refers to this case therapy is often controversial and difficult to conclude. There are
several procedures for this problem, but each procedure on oesophagus causes further tissue
damage with additional loss of function. Colon interposition as a therapeutic option in severe
cases.

Clinical Presentation

A 21 years old male with complain dysphagia and distention on epigastrium area after
2 weeks ingestion of caustic agent (Wipol) caused by suicide attempts. We found strictures
on 1/3 proximally from oesophagus and antrum pylorus and performed colon interposition
using ascending colon.

Conclusion

Colon interposition is satisfactory options for oesophageal stricture treatment when

the stomach is not available.

Keywords : Colon interposition, strictures, caustic agents