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Aluminum phosphide-induced esophageal strictures: a new cause of benign esophageal strictures.

Abstract
Fifteen consecutive patients presenting with dysphagia due to aluminum phosphide (AP)-induced esophageal strictures were studied retrospectively to elucidate the natural history of AP-induced esophageal strictures and to evaluate the efficacy of bougie dilation. The median time lag between consumption of AP and occurrence of dysphagia was 3 weeks. All patients had a single stricture and could be dilated using a bougie dilator. Thirteen patients were relieved of dysphagia on a mean (SD) follow-up of 18 (7.3) months. Two patients had recalcitrant strictures and needed needle-knife incision of the stricture followed by balloon dilation. The strictures opened up well in both the patients and they were relieved of dysphagia. AP-induced esophageal stricture is a new cause of benign esophageal stricture. Most patients present with dysphagia around 3 weeks after consumption of AP tablets. A single esophageal stricture is found in these patients. Most strictures respond very well to bougie dilation. However, some of the strictures may be recalcitrant and may require needle-knife incision and balloon dilation.
AuthorsSri Prakash Misra, Manisha Dwivedi
JournalJournal of clinical gastroenterology (J Clin Gastroenterol) 2009 May-Jun Vol. 43 Issue 5 Pg. 405-9 ISSN: 1539-2031 [Electronic] United States
PMID18838921 (Publication Type: Journal Article)
Chemical References
  • Aluminum Compounds
  • Contrast Media
  • Pesticides
  • Phosphines
  • Barium Sulfate
  • aluminum phosphide
Topics
  • Adult
  • Aluminum Compounds (poisoning)
  • Barium Sulfate
  • Catheterization
  • Contrast Media
  • Deglutition Disorders (chemically induced, diagnosis, therapy)
  • Dilatation (instrumentation)
  • Equipment Design
  • Esophageal Stenosis (chemically induced, diagnosis, therapy)
  • Esophagoscopy
  • Female
  • Humans
  • Male
  • Pesticides (poisoning)
  • Phosphines (poisoning)
  • Retrospective Studies
  • Suicide, Attempted
  • Time Factors
  • Treatment Outcome
  • Young Adult

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