Brandimarte G, Tursi A
Department of Internal Medicine, Digestive Endoscopy Unit, Cristo Re Hospital, Rome, Italy.
Endoscopy. 2002 May;34(5):399-401. doi: 10.1055/s-2002-25293.
Stricture of the esophagus following surgical resection is uncommon. Several methods have been described for treatment of this entity, but the therapeutic success may be impaired either by poor long-term results or by poor acceptance by patients. Even the high cost of the therapeutic management may represent a problem. We describe the use of electrocautery to treat benign anastomotic esophageal stenosis.
Six unselected consecutive patients (four men, two women; mean age 68.3, range 54 - 82) with stenosis following esophagojejunostomy were enrolled in this trial. Postoperative stenoses were shown endoscopically (four patients) or radiographically (two patients). We performed endoscopic dilation of the strictures using electrocautery.
In all patients we obtained dilation of the strictures, without any immediate or delayed procedure-related complication. No recurrence of the stenosis was demonstrated during a mean 24-month follow-up (range 8 - 33 months).
This study showed that endoscopic electrocautery is a safe and effective treatment for benign anastomotic esophageal stenosis.
手术切除后食管狭窄并不常见。已有多种治疗该病症的方法被描述，但长期效果不佳或患者接受度低可能会影响治疗的成功。甚至治疗管理的高成本也可能是个问题。我们描述了使用电灼术治疗良性吻合口食管狭窄的情况。
本试验纳入了6例连续入选的食管空肠吻合术后狭窄患者（4例男性，2例女性；平均年龄68.3岁，范围54 - 82岁）。术后狭窄通过内镜检查（4例患者）或影像学检查（2例患者）得以显示。我们使用电灼术对狭窄部位进行内镜扩张。
所有患者的狭窄部位均实现了扩张，且未出现任何与手术相关的即时或延迟并发症。在平均24个月的随访期（范围8 - 33个月）内，未发现狭窄复发。
本研究表明，内镜电灼术是治疗良性吻合口食管狭窄的一种安全有效的方法。
