[Long-term results of bouginage of peptic esophageal strictures. A retrospective analysis of an 8 year time spain].
BACKGROUND
Peptide stricture is a late stage of reflux esophagitis which prompts the patient to see a doctor for worsening dysphagia.


METHODS
A retrospective analysis over an 8-year period, during which 53 patients with peptic esophageal stricture underwent bougienage and received aftercare. Twenty-five of these patients were interviewed with the aid of a questionnaire.


RESULTS
In more than 80% of the patients, dilatation, usually performed on an outpatient basis, led to satisfactory results, in particular in combination with long-term medical treatment. Although repeat bougienage sessions were necessary--after lengthy intervals--in about one-half of the patients, the intervals between sessions became longer (1.5 to 1 bougienage session per year).


CONCLUSIONS
Currently, bougienage to a diameter of 2.0 cm, in combination with 20 to 40 mg omeprazole administered long-term, would appear to represent optimal treatment.
Schneider
K
K
Medizinische Klinik, Krankenhaus Nordwest der Stiftung Hospital zum heiligen Geist, Frankfurt/Main.
Rösch
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D004106:Dilatation; D004940:Esophageal Stenosis / Q000628:therapy*; D004942:Esophagitis, Peptic / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies
Langzeitresultate der Bougierung bei peptischen Osophagusstrikturen. Retrospektive Analyse eines 8-Jahres-Zeitraums.