[Dilatation of anastomotic stricture by Nd:YAG laser beam under endoscopy].
Zhonghua Zhong Liu Za Zhi
; 16(6): 451-3, 1994 Nov.
Article
en Zh
| MEDLINE
| ID: mdl-7720504
ABSTRACT
Anastomotic stricture has become a common complication following surgical treatment of upper gastrointestinal cancers. A technique was devised to alleviate the stricture with Nd. YAG laser beam under endoscopy. The laser beam was applied at 3-4 different points near the anastomotic stoma. The thermal effect of the beam would cut the scar tissues in and underneath the mucosa, leading to dilatation of the stoma. A total of 48 patients with cancer of the esophagus (n = 21), gastric cardia (n = 20), body of stomach (n = 6) and gastric stump (n = 1) with postoperative anastomotic stricture was so treated. According to the degree of dilatation, the result of treatment upon longterm follow-up was good (the anastomotic stoma was enlarged more than 6 mm) in 41 (85.4%), fair (the stoma enlarged 4-5 mm) in 5 (10.4%) and poor in the remaining 2. Due precautions should be made to avoid bleeding and perforation.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Estenosis Esofágica
/
Terapia por Láser
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Zhong Liu Za Zhi
Año:
1994
Tipo del documento:
Article