Clinical Outcomes of Dilation Therapy for Anastomotic Esophageal Stricture / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 102-108, 2017.
Article
em Ko
| WPRIM
| ID: wpr-155812
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS: Benign esophageal stricture after esophagectomy is not an infrequent complication. Anastomotic esophageal stricture requires frequent multiple dilations. We aimed to evaluate the clinical outcomes of dilation therapies using an endoscopic balloon or bougie dilator and analyzed the risk factors associated with refractory stricture. METHODS: Between January 2009 and May 2016, the medical records of 21 patients treated with endoscopic balloon dilation or bougie dilation for esophageal anastomotic strictures were retrospectively reviewed. RESULTS: During the study periods, a total of 21 patients were diagnosed with esophageal anastomotic stricture and included for analysis (17 male; mean age, 68.2±7.2 years at the first procedure). The mean stricture length was 6.4±8.1 mm. The refractory stricture was found in 28.6% of patients, and successful relief of dysphagia was achieved in 71.4% of patients. The major complication associated with dilations was absent. Factors associated with refractory stricture were stricture length (> 10 mm, p<0.049) and diabetes mellitus (p=0.035). Additive bougie dilations achieved clinical success in 4 out of 7 patients. CONCLUSIONS: Dilation with endoscopic balloon or bougie dilator was an effective and safe procedure for benign anastomotic esophageal strictures of less than 10 mm in length.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Transtornos de Deglutição
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Prontuários Médicos
/
Estudos Retrospectivos
/
Fatores de Risco
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Esofagectomia
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Constrição Patológica
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Diabetes Mellitus
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Estenose Esofágica
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Esôfago
Tipo de estudo:
Etiology_studies
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Observational_studies
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Risk_factors_studies
Limite:
Humans
/
Male
Idioma:
Ko
Ano de publicação:
2017
Tipo de documento:
Article