Surgical Treatment of Decompensated Cicatricial Stricture of the Esophagus, Grade III-IV Dysphagia, and Compression Syndrome Caused by Nontoxic Multinodular Goiter: A Case Report

Objective: Long-standing gastroesophageal reflux disease is the most common cause of a cicatricial stricture esophagus. The treatment this pathology involves wide range methods including conservative and surgical options. Surgeons can encounter technical difficulties in case concomitant neck chest pathology. Clinical case: We report decompensated esophagus with paraesophageal hiatal hernia, refractory disease, nontoxic multinodular goiter (166.9 cm 3 ). Selecting optimal management for such patients often challenge. Staged significantly improves postoperative quality life, but increased length hospital stay negatively impact patient compliance.