Khokhar Nasir, Gill Muzaffar Lateef, Khan Muhammad Mussadiq
Department of Medicine Division of Gastroenterology, Shifa International Hospital and Shifa College of Medicine, Islamabad, Pakistan.
J Coll Physicians Surg Pak. 2003 Oct;13(10):555-7. doi: 10.2003/JCPSP.555557.
To review the experience of endoscopic dilation of esophageal strictures at a tertiary care hospital.
Descriptive study.
Shifa International Hospital, Islamabad January 1985 to January 2003.
Patients presenting with dysphagia who presented at our institution during the past 8 years were reviewed. Their etiology and the number of dilations required for improvement in dysphagia and follow up with any complications were reviewed. All procedures were performed with savary dilators using guide wire without fluoroscopy.
A total of 369 patients were seen during this period and 583 procedures were performed. Two hundred thirty-five (63.7%) patients had peptic stricture, 123 (33.3%) had malignant strictures, 08 (2.2%) had non obstructive dysphagia and 6 (1.6%) had corrosive ingestions. The age ranged from 28-68 years. There were 254 (88.5%) males and 115 (31.2%) females. Sixty-seven (11.5%) procedures were performed as inpatient and 516 (88.5%) procedures were done as outpatient. Two to three attempts at dilatation were required to achieve satisfactory swallowing. There were no serious complication. Follow-up period was 6-8 weeks on an average.
Most common esophageal stricture found in our practice were peptic strictures. Dilation with savary system was safe and effective and was able to relieve dysphagia in large number of patients. No fluoroscopic guidance was needed.
回顾一家三级医疗机构内镜下扩张食管狭窄的经验。
描述性研究。
伊斯兰堡的希法国际医院，1985年1月至2003年1月。
对过去8年在我院就诊的吞咽困难患者进行回顾。对其病因、改善吞咽困难所需的扩张次数以及任何并发症的随访情况进行了回顾。所有操作均使用Savary扩张器并借助导丝在无荧光透视的情况下进行。
在此期间共诊治369例患者，进行了583次操作。235例（63.7%）患者为消化性狭窄，123例（33.3%）为恶性狭窄，8例（2.2%）为非梗阻性吞咽困难，6例（1.6%）为腐蚀性摄入。年龄范围为28 - 68岁。男性254例（88.5%），女性115例（31.2%）。67次（11.5%）操作是住院患者进行的，516次（88.5%）操作是门诊患者进行的。需要进行两到三次扩张尝试才能实现满意的吞咽。无严重并发症。平均随访期为6 - 8周。
在我们的实践中发现最常见的食管狭窄是消化性狭窄。使用Savary系统进行扩张安全有效，能够使大量患者缓解吞咽困难。无需荧光透视引导。
