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

Lino Polese, Imerio Angriman, Elisa Bonello, Francesca Erroi, Marco Scarpa, Mauro Frego, Davide F. D'Amico, Lorenzo Norberto

Research output: Contribution to journalArticle

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.

Original languageEnglish
Pages (from-to)477-481
Number of pages5
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 2007

Keywords

  • Anastomosis
  • Dilation
  • Esophagus
  • Strictures

ASJC Scopus subject areas

  • Surgery

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