Mosimann F, Broennimann B
Service de chirurgie, Centre hospitalier universitaire vaudois, Lausanne.
Helv Chir Acta. 1992 Mar;58(5):661-2.
167 of 189 patients were followed prospectively after sclerotherapy of oesophageal varices between 1982 and 1989. 18% developed a stenosis of the lower oesophagus causing dysphagia: 3 of these 30 strictures were malignant and 27 were benign. The former are probably not related to sclerotherapy. 17 of the latter responded to a modified diet and the other 10 required endoscopic dilatation. This was done successfully on an out-patient basis without complication in all cases. We conclude that dysphagia after sclerotherapy of oesophageal varices is common; it is usually caused by a benign stricture: if severe, it responds to endoscopic dilatation.
1982年至1989年间，189例接受食管静脉曲张硬化治疗的患者中有167例接受了前瞻性随访。18%的患者出现食管下段狭窄并导致吞咽困难：这30例狭窄中有3例为恶性，27例为良性。前者可能与硬化治疗无关。后者中有17例通过调整饮食得到缓解，另外10例需要内镜扩张。所有病例均在门诊成功完成内镜扩张，无并发症发生。我们得出结论，食管静脉曲张硬化治疗后吞咽困难很常见；通常由良性狭窄引起；如果病情严重，可通过内镜扩张缓解。
