[Oesophageal strictures after surgery (author's transl)].
Oesophageal strictures after surgery of all kinds on the oesophagus are the unusual but still relatively frequent. The underlying pathogenetic cause is peptic disease. The diagnosis is made by conventional rigid oesophagoscopy which also allows the stricture to be gauged and dilatation treatment to be starded. This dilatation constitutes the main basis of treatment. The surgical cure of the reflux from the stomach increase the efficacity of these dilatations, which should be done immediately after the postoperative period and continued for a long time. This procedure has allowed patients with gastrostomies, thought to be forever, to be closed. The case of strictures after oesophageal surgery is more complex. The etiological causes are varied. The strictures may be associated with and need to be distinguished from kinds and disorders of motility. They may be due to the original disease which continues to progress, or to the surgical technique. Curative treatment is always difficult. The solution is to prevent complications by discussion between the laryngologist and the surgeon before operation.
D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects; D003106:Colon / Q000601:surgery; D003937:Diagnosis, Differential; D004940:Esophageal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004942:Esophagitis, Peptic / Q000601:surgery; D005260:Female; D005763:Gastroenterostomy / Q000009:adverse effects; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications
Les sténoses oesophagiennes post-opératoires.