Aluminium phosphide-induced esophageal stricture palliation with polyflex stent.
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.
Somani
Sanjay Kumar
SK
Department of Gastroenterology, S.P.S. Apollo Hospitals, Ludhiana, Punjab, India. sanjayksomani@rediffmail.com
D000276:Adjuvants, Immunologic / Q000009:adverse effects*; D000328:Adult; D000497:Alloys; D017607:Aluminum Compounds / Q000009:adverse effects*; D003679:Deglutition; D003680:Deglutition Disorders / Q000139:chemically induced / Q000628:therapy*; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000628:therapy*; D004947:Esophagus; D005260:Female; D006801:Humans; D010710:Phosphates / Q000009:adverse effects*; D015607:Stents
D000276:Adjuvants, Immunologic; D000497:Alloys; D017607:Aluminum Compounds; D010710:Phosphates; C012714:aluminum phosphate