Buccal Mucosal Graft for Recurrent Cervical Oesophageal Anastomotic Stricture: a Case Report

Abubakar Umar; Ismaila Arzika Mungadi; Salisu Ismail; Khalid Abdullahi; Moyijo Abubakar Maishanu; Isah Abdullahi

doi:10.5455/JSRR.20250409054019

Abstract
Background: Corrosive oesophageal strictures are a common clinical challenge in children, particularly in developing countries where the domestic production of soap is prevalent and often involves caustic agents. Surgical options for managing complications from corrosive ingestion include gastric pull-up, colonic interposition, and jejunal substitution.
Case Presentation: An 11-year-old boy with complications of corrosive oesophageal injury presented with severe malnutrition. Following nutritional rehabilitation, he underwent a gastric pull-up procedure using the Orringer technique. Postoperatively, he developed an anastomotic stricture that was successfully managed with a buccal mucosal graft.
Conclusion: Buccal mucosal graft stricturoplasty represents a viable surgical option for managing recurrent anastomotic strictures following gastric pull-up procedures, particularly in settings with limited access to advanced endoscopic or surgical alternatives.

Key words: Buccal mucosal graft stricturoplasty, oesophageal anastomotic stricture, corrosive stricture