title: Endoscopic dilation of benign esophageal strictures in a surgical unit: a report on 95 cases.
abstract: Ninety-five patients were treated by endoscopic dilation without fluoroscopic guidance between 1997 and 2005 for benign esophageal strictures. The etiologies were: anastomotic (38), postfundoplication (13), caustic (14), peptic (11), radiation-induced (10) and others (9). The strictures were classified at every session on a 0 to 4 scale on the basis of the diet and the luminal diameter. Savary-Gillard or Through-the Scope balloon dilators were used depending on the type and the location of the stenosis. A total of 472 dilation sessions were carried out without serious complications. A normal and a semisolid diet were respectively achieved in 75% and 91%. Recurrence of dysphagia was found in 33% and 51% of the patients respectively after 2 months and 1 year. Improvement of dysphagia, the number of sessions, and recurrence were significantly better in the patients with postsurgical stenosis as compared with those affected by caustic, peptic, and radiation-induced strictures.
authors: Gastroenterological and Surgical Department, First Surgical Clinic, Padua University, Italy. linopolese@hotmail.com
authors: Lino
authors: L
authors: Polese
authors: Imerio
authors: I
authors: Angriman
authors: Elisa
authors: E
authors: Bonello
authors: Francesca
authors: F
authors: Erroi
authors: Marco
authors: M
authors: Scarpa
authors: Mauro
authors: M
authors: Frego
authors: Davide F
authors: DF
authors: D'Amico
authors: Lorenzo
authors: L
authors: Norberto
mesh_terms: D002404:Catheterization / Q000009:adverse effects; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D004945:Esophagoscopy; D006801:Humans; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013503:Surgery Department, Hospital; D016896:Treatment Outcome