Corrosive oesophageal stricture in Malaysian adults.

In this series, six patients had periodic oesophageal dilatation with relief of symptoms. Two patients had feeding gastrostomies. Definitive surgical procedures were performed in 32 patients of which nine had oesophageal bypass, and 23 oesophageal resection with a visceral replacement. The colon was used in eight oesophageal bypass procedures and the jejunum in two. One patient who had a colonic bypass developed necrosis of the caecum and was excised and replaced with a loop of jejunum. The stomach was the commonest organ used for replacement of the oesophagus (Table 11).