Endoscopic dilation of benign esophageal strictures in a surgical unit: a report on 95 cases.

Abstract

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.

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@article{Polese2007EndoscopicDO, title={Endoscopic dilation of benign esophageal strictures in a surgical unit: a report on 95 cases.}, author={Lino Polese and Imerio Angriman and Elisa Bonello and Francesca R Erroi and Marco Scarpa and Mauro Frego and Davide D'amico and Lorenzo Norberto}, journal={Surgical laparoscopy, endoscopy & percutaneous techniques}, year={2007}, volume={17 6}, pages={477-81} }