Kochman Michael L
Gastroenterology Division, University of Pennsylvania Medical School, 3 Ravdin, HUP, 3400 Spruce Street, Philadelphia, PA 19104, USA.
Gastrointest Endosc Clin N Am. 2007 Jan;17(1):47-58, vi. doi: 10.1016/j.giec.2006.12.002.
Esophageal dilation, along with many other therapeutic endoscopic procedures, carries with it an increased risk of complications, most of which are transient events but some of which may be catastrophic. The author reviews the literature concerning the major and minor complications that one will encounter in a busy and aggressive gastrointestinal endoscopic practice. There are scant prospective data concerning risk minimization and most studies are retrospective case series. Careful identification of groups of patients who have risk factors that may increase the potential for an adverse event is worthwhile and is reviewed. The current literature is discussed and suggestions to provide guidance and pearls in helping to avoiding and diagnosing major complications are given.
与许多其他治疗性内镜手术一样，食管扩张会带来更高的并发症风险，其中大多数是短暂性事件，但有些可能是灾难性的。作者回顾了有关在繁忙且积极的胃肠内镜实践中会遇到的主要和次要并发症的文献。关于风险最小化的前瞻性数据很少，大多数研究是回顾性病例系列。仔细识别有增加不良事件可能性的危险因素的患者群体是值得的，并对此进行了回顾。讨论了当前的文献，并给出了有助于避免和诊断主要并发症的指导建议和实用技巧。
