[Combination of diathermy and argon plasma coagulation in treatment of cicatricial esophageal stenoses].
Scar stenoses of the esophagus are caused by peptic reflux or following surgery of the upper gastrointestinal tract. Short scar cicatricial stenoses are difficult to treat and have a high recurrence rate. Pneumatic dilatations show a short term success. We treated 5 patients with a short scar esophageal stenosis after esophagogastrostomy (n = 3) and after esophagojejunostomy (n = 2). The main symptom was dysphagia. X-ray shows the length of the stenosis (max. 1.5 cm). The stenosis was cutted by diathermy in a starshape. In all 5 cases it was possible to achieve the wide lumen. There were no complications. The combination of diathermy and argon-plasma-coagulation is a safe method, rare of complications in the treatment of short scar stenosis of the esophagus.
Pross
M
M
Klinik für Chirurgie, Otto-von-Guericke Universität Magdeburg. Matthias.Pross@medizin.uni-magdeburg.de
Manger
T
T
Lippert
H
H
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002921:Cicatrix / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000295:instrumentation*; D019723:Endoscopes; D004867:Equipment Design; D004938:Esophageal Neoplasms / Q000601:surgery; D004940:Esophageal Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D020701:Esophagoscopes; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D016896:Treatment Outcome
Die Kombination von Diathermie und Argon-Plasma-Koagulation in der Behandlung von narbigen Oesophagusstenosen.