Caustic injuries to esophagus

Caustic Esophageal Injury Reconstruction MCQ | mcqsurgery.com

Q) A 28-year-old man with a history of accidental caustic ingestion in childhood presents with long-standing progressive dysphagia. He has undergone multiple endoscopic dilatations with only temporary relief. Contrast study shows a long-segment esophageal stricture. He is being planned for definitive surgical reconstruction. Which of the following statements regarding reconstruction after caustic esophageal injury is NOT true?

A. Patients with caustic esophageal strictures have a markedly increased lifetime risk of esophageal carcinoma B. Elective surgery is indicated in refractory strictures and due to concern for malignant transformation C. Right colon interposition is definitely superior to left colon interposition D. Most surgeons prefer esophageal bypass rather than resection in caustic injuries

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