Tăranu D, Fotiade B, Popescu C, Oproiu A
Centrul de gastroenterologie, Serviciile Explorări Funcţionale şi Radiologice, Spitalul Clinic Fundeni.
Med Interna. 1991;43(1-2):116-23.
A number of 55 balloon dilatations were performed on 23 patients with oesophageal stenoses of various aetiologies. Among these, 22 displayed benign stenoses and only 1 case had a malignant aetiology. The number of dilatations per patient varied from 1 to 3. In the evaluation of the results, only the clinical criterion was taken into account, the radiological examination and the oesophageal passage scintigram being inconclusive in the respect. The balloon dilatation was successfully performed in 96% of patients. In the long-term follow-up, 82.4% of the patients with benign stenoses benefitted from this therapeutic procedure. In some patients it was necessary to repeat dilatation. The asymptomatic free interval was on the average of 11.5 months. It is concluded that the balloon dilatation is a simple, safe and readily applicable therapeutic method, that may be successfully used in the treatment of oesophageal stenoses of various aetiologies, allowing in most cases to avoid the surgical intervention.
对23例各种病因所致食管狭窄患者进行了55次球囊扩张术。其中,22例为良性狭窄,仅1例为恶性病因。每位患者的扩张次数为1至3次。在评估结果时,仅考虑临床标准,因为放射学检查和食管通过闪烁图在此方面尚无定论。96%的患者球囊扩张术成功实施。在长期随访中,82.4%的良性狭窄患者从该治疗方法中获益。部分患者需要重复扩张。无症状的缓解期平均为11.5个月。结论是,球囊扩张术是一种简单、安全且易于应用的治疗方法,可成功用于治疗各种病因所致的食管狭窄,在大多数情况下可避免手术干预。