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Aluminium Phosphide-induced Esophageal Stricture Palliation with Polyflex Stent

Overview
Journal Dysphagia
Date 2008 Aug 8
PMID 18685893
Citations 3
Authors
Sanjay Kumar Somani
Affiliations
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Abstract

A 21-year-old woman developed midesophageal stricture two weeks after ingestion of aluminium phosphide (AlP) tablets. Aluminium phosphide is a lethal protoplasmic toxin and is also the most common cause of suicidal poisoning in northern India. Upper gastrointestinal endoscopy (UGIE) showed a tight esophageal stricture 29 cm from the incisors with a circumferential ulcer. Dilatation up to 17 mm was done using Savary-Gilliard dilators. She had repeated dilatations three times at nearly two-week intervals. In view of the resistant stricture, a silicone Polyflex stent was placed across the stricture and removed after 3 months; there was no recurrence of stricture even after three months of follow-up. Patients with recurrent esophageal stricture and those with fistula may benefit from silicone expandable stents.

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Clinical profile and outcome of aluminum phosphide-induced esophageal strictures.

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Esophageal complications following aluminium phosphide ingestion: an emerging issue among survivors of poisoning.

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