title: Long-term follow-up after dilation in symptomatic esophageal intramural pseudodiverticulosis: an observational study in 22 cases.
abstract: Endoscopic bougienage seems to be the most effective therapy for dysphagia in esophageal intramural pseudodiverticulosis (EIPD), but nothing is known about the long-term success of this treatment option. This report presents long-term results for 21 of 22 patients with EIPD who were treated with bougienage. A total of 103 sessions of bougienage up to a diameter of 18 mm were performed, without major complications and with 100 % clinical success. During follow-up, symptom recurrence with further bougienage occurred in 12 /21 patients (57 %), who had variable symptom-free intervals (range 1.5 - 96 months). Symptom recurrence was associated with concomitant reflux esophagitis. Although this series demonstrates that bougienage is an effective method for relieving dysphagia in EIPD, the long-term effectiveness is limited.
authors: Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
authors: Matthias
authors: M
authors: Bechtler
authors: Medizinische Klinik II, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany.
authors: Heiko
authors: H
authors: Vollmer
authors: Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
authors: Stephan
authors: S
authors: Vetter
authors: Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
authors: Erik-Sebastian
authors: ES
authors: Fuchs
authors: Medizinische Klinik II, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany.
authors: Uwe
authors: U
authors: Weickert
authors: Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
authors: Ralf
authors: R
authors: Jakobs
mesh_terms: D000368:Aged; D003680:Deglutition Disorders / Q000209:etiology / Q000628:therapy*; D004106:Dilatation / Q000009:adverse effects; D004936:Diverticulum, Esophageal / Q000150:complications / Q000628:therapy*; D004940:Esophageal Stenosis / Q000209:etiology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013997:Time Factors