[Long term results of dilatation using the tube-bougie method in stenosis following caustic oesophagitis (author's transl)].
The tube-bougie methode suggested by the authors ten years ago for dilatation of oesophageal stenosis is based upon the fact that the instrument dilates only in the oesophagus itself and that it consists, on the one hand at the level of the stomach and secondly at the level of the nose and pharynx of a tube a small calibre which makes it possible to leave the dilating instrument in place for far longer periods (24 to 48 hours) than conventional bougies, increasing the interval between dilatation sessions. This technique has been used several hundred times for various indications, but only 6 cases of caustic oesophagitis (with a total of 440 dilatations) each patient being followed up for more than three and a half years, have been studied in order to determine the effectiveness of the method. Amongst the causes of recurrent stenosis or of an imperfect long term result, the authors stress the role of the reflux of gastric fluid and above all of progressive fibroinflammatory mediastinitis.
D000328:Adult; D002057:Burns, Chemical; D002648:Child; D002675:Child, Preschool; D004106:Dilatation; D004940:Esophageal Stenosis / Q000139:chemically induced / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D005764:Gastroesophageal Reflux / Q000150:complications; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008480:Mediastinitis / Q000150:complications; D008722:Methods; D012008:Recurrence
Résultats à long terme de la dilatation par la méthode des sondes-bougies des sténoses après oesophagite caustique.