Patient Receives Life-Saving Care for a Damaged Food Pipe at Kailash Hospital

A 30-year-old male, was rushed to Kailash Hospital, Sector-71, Noida after accidentally ingesting a highly corrosive substance, which severely damaged his food pipe (esophagus). His condition was life-threatening, requiring immediate medical intervention. The dedicated team of doctors at Kailash Hospital, led by Dr. Aditya Sharma, Consultant GI & Bariatric Surgeon, quickly devised a treatment plan to save his life and restore his health.

Presentation of Symptoms

The patient presented with severe pain and difficulty in swallowing, along with excessive salivation and chest pain, especially during swallowing. These symptoms were indicative of significant damage to his esophagus, leading to a critical condition that required urgent attention.

Diagnosis

After a thorough clinical evaluation and diagnostic tests, it was determined that the patient had developed a High Corrosive Esophageal Stricture following the acid ingestion, which caused extensive damage to his food pipe. The condition had previously been attempted to be managed with endoscopic dilatation, but the treatment had failed, leading to further complications.

Condition Overview

The physical examination revealed that the pateint was conscious and oriented, with stable vitals: normal blood pressure and oxygen saturation. There was no sign of pallor or jaundice, though his condition required more advanced care to address the severe damage to his esophagus. The diagnostic imaging confirmed significant issues that needed immediate surgical intervention.

Treatment Plan

Given the severity of the damage and the failed endoscopic dilatation attempts, The patient was recommended for a complex surgical procedure. After obtaining informed consent and PAC clearance, he underwent a Colonic Pull-Up with Calo Esophagus & Calo Gasmic & Ileocolic Anastomosis under general anesthesia on 31st July 2024. This procedure was aimed at restoring his ability to swallow and bypassing the damaged area of his esophagus.

Post-operatively, patient was closely monitored in the ICU, where he was given PRBC transfusion and epidural top-up for pain management. On 1st August 2024, he was transferred to the High Dependency Unit (HDU) for continued care, and later to the ward on 2nd August 2024.

Additionally, due to the development of cough with sputum, a pulmonologist's consultation was sought. Dr. A.S. Sandhya recommended a diagnostic pleural tapping, revealing moderate fluid accumulation in the chest, which was treated effectively. A sputum culture confirmed an E. Coli (ESB) infection, which was managed accordingly.

Outcome and Follow-Up

After the successful surgery and comprehensive post-operative care, patient showed remarkable improvement. He was stabilized and discharged in a stable condition with instructions for follow-up visits to monitor his recovery. His family expressed their heartfelt gratitude for the prompt and efficient treatment provided by the doctors and nursing staff.

Conclusion

This patient’s case highlights the exceptional expertise and care available at Kailash Hospital, where timely intervention and skilled surgical techniques helped save a patient’s life. The collaborative efforts of Dr. Aditya Sharma and the entire medical team ensured that patient could return to his normal life, and the hospital remains committed to providing the best possible care for all its patients.