Endoscopic dilation of benign esophageal strictures in a surgical unit: a report on 95 cases.
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.
Polese
Lino
L
Gastroenterological and Surgical Department, First Surgical Clinic, Padua University, Italy. linopolese@hotmail.com
Angriman
Imerio
I
Bonello
Elisa
E
Erroi
Francesca
F
Scarpa
Marco
M
Frego
Mauro
M
D'Amico
Davide F
DF
Norberto
Lorenzo
L
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