[The immediate and late results of the endoscopic treatment of strictures of the esophageal anastomoses after esophagoplasty].
The article summarizes 11 years' experience (1986-1997) of endoscopical treatment for scar strictures of esophageal anastomoses in 13 patients after various types of esophagoplasty. In 65% of patients the diameter of the anastomosis did not exceed 5 mm. For distension of the anastomoses bouginage, balloon dilation and both of them were used. All sorts of dilators were introduced through an endoscopically inserted guide. In one patient introduction of the guide was a failure. Endoscopical procedures were performed in 112 patients. The diameter of the anastomosis 14 mm and more was achieved in 40 (35.7%) patients, 10-13 mm--56 (50,0%), less than 10 mm--in 18 (14.3%). In one half of the patients restenosis developed 1-3 months after the treatment. As a prophylactic measure it is necessary to maintain regular treatment in outpatient clinic with increasing interval during 3-6 months using any available dilators of a large diameter.
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Godzhello
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Gallinger
D000714:Anastomosis, Surgical / Q000009:adverse effects; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D002921:Cicatrix / Q000150:complications / Q000628:therapy; D004106:Dilatation / Q000295:instrumentation / Q000379:methods; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D004944:Esophagoplasty; D020701:Esophagoscopes; D004945:Esophagoscopy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012008:Recurrence; D013997:Time Factors