[A case of anstomotic stricture after esophagectomy sufficiently treated by endoscopic triamcinolone injection therapy].
We report a case of 50-year-old man with refractory anastomotic stricture after esophagectomy, which was successfully treated with endoscopic triamcinolone injection therapy. He received a curative operation for advanced thoratic esophageal carcinoma (Mt, Type 3, cT3, cN1, MO, Stage III). Anastomotic leakage was occurred as post-operative adverse event, which recovered conservatively, and subsequently resulted in refractory anastomotic stricture. He had a recurrence of dysphagia despite of repeated bougienage and endoscopic balloon dilatation. Four years later, he received an intralesional triamcinolone injection in anastomotic stricture every four weeks. According to the 5 courses of treatment, anastomotic stricture was cured and there was no recurrence confirmed. Intralesional triamcinolone injection may be one of the promising options for the treatment of refractory anastomotic stricture after esophagectomy.
Dept. of Surgery, Yao Municipal Hospital.
Jin
J
Matsuyama
Yukio
Y
Fukushima
Masayuki
M
Hiraki
Shinji
S
Matsumoto
Masayoshi
M
Tokuoka
Kazuhiko
K
Hashimoto
Shigekazu
S
Yokoyama
Shunji
S
Morita
Takashi
T
Morimoto
Takashi
T
Nomura
Yo
Y
Sasaki
D000893:Anti-Inflammatory Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D004938:Esophageal Neoplasms / Q000601:surgery*; D004940:Esophageal Stenosis / Q000188:drug therapy*; D016629:Esophagectomy / Q000009:adverse effects*; D004945:Esophagoscopy / Q000379:methods*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D014221:Triamcinolone / Q000008:administration & dosage / Q000627:therapeutic use*
D000893:Anti-Inflammatory Agents; D014221:Triamcinolone