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

Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):477-81. doi: 10.1097/SLE.0b013e3181514217.

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.

Publication types

  • Comparative Study

MeSH terms

  • Catheterization* / adverse effects
  • Deglutition Disorders / etiology
  • Deglutition Disorders / therapy
  • Esophageal Stenosis / etiology
  • Esophageal Stenosis / therapy*
  • Esophagoscopy*
  • Humans
  • Postoperative Complications
  • Recurrence
  • Retrospective Studies
  • Severity of Illness Index
  • Surgery Department, Hospital
  • Treatment Outcome