[Treatment of cicatricial esophageal strictures and esophageal anastomoses by using flexible endoscopes].
The paper presents the results of endoscopic treatment of benign esophageal strictures of various origin in 294 patients and of scar stenosis of esophageal anastomoses in 157 patients. The basic endoscopic techniques of expansion are balloon hydrodilatation by using catheters, 10-30 mm in diameter and bouginage of Savary's (maximum outside diameter 40 Fr) and Eder-Puestow's (with olives, 15-20 mm in diameter) bougies. Good and excellent direct results were obtained in 57.1% of patients with esophageal strictures and in 87.8% of patients with stenoses of digestive anastomoses. Esophageal perforation occurred in 1.03% of patients with esophageal strictures. There were no serious complications after endoscopic treatment of postoperative stenoses. To prevent restenoses, endoscopic treatment should include regular outpatient maintaining dilatations by using dilatators at longer intervals during 3-6 months.
Godzhello
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D000714:Anastomosis, Surgical / Q000009:adverse effects*; D002921:Cicatrix / Q000209:etiology / Q000628:therapy*; D004106:Dilatation / Q000295:instrumentation; D004940:Esophageal Stenosis / Q000628:therapy*; D020701:Esophagoscopes; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D055502:Secondary Prevention
Lechenie rubtsovykh striktur pishchevoda i pishchevodnykh anastomozov s ispol'zovaniem gibkikh éndoskopov.