[Mid-term failure of balloon dilatation treatment of antral stenosis induced by caustics].
We report the case of an antral stricture following lye ingestion. The patient was treated by 3 dilations using a through-the-scope balloon dilator, initially with good results. One year later, the recurrence of the symptoms led to 2 other sessions of dilation without success and a partial gastrectomy was performed. The intensity of the gastric wall fibrosis on the surgical specimen, probably responsible for major motor impairment, accounts for the discordance between the good endoscopic result and the clinical failure. Endoscopic dilation of lye-induced gastric strictures could be a temporary alternative to surgical resection because the gastric wall fibrosis blemishes the long-term functional result.
Dumont
O
O
Service de Gastroentérologie-Hépatologie, Hôpital Edouard-Herriot, Lyon.
Queneau
P E
PE
Bernard
G
G
Berger
F
F
Paliard
P
P
D002057:Burns, Chemical / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D002404:Catheterization / Q000379:methods*; D005260:Female; D006571:Heterocyclic Compounds / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D009153:Mutagens / Q000009:adverse effects*; D011707:Pyloric Stenosis / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D011859:Radiography; D013406:Suicide, Attempted; D017211:Treatment Failure
D006571:Heterocyclic Compounds; D009153:Mutagens; C011374:s-trioxane
Echec à moyen terme du traitement d'une sténose antrale caustique par dilatation au ballonnet.