Center for Esophageal Diseases and Swallowing, Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Gastrointest Endosc. 2011 Jan;73(1):138-42. doi: 10.1016/j.gie.2010.09.034.
Eosinophilic esophagitis (EoE) is a chronic inflammatory condition that can be complicated by esophageal strictures requiring endoscopic dilation. Whereas recent data have advanced the notion that dilation can be done effectively with minimal morbidity, issues concerning safety and tolerability remain.
To review our initial experience with a novel esophageal balloon pull-through technique for sizing and dilation in EoE as well as to present a video illustrating the methodology.
Case series.
Tertiary-care referral center.
Thirteen patients with EoE.
Balloon pull-through technique for esophageal dilation.
Dilation effect, size, and complications (esophageal perforation, bleeding requiring endoscopic hemostasis, or severe chest pain requiring hospitalization).
Thirteen patients (7 men, 6 women; mean age 40 years, range 19-66 years) with EoE underwent dilation with the esophageal balloon pull-through technique. Resistance during the pull-through was encountered in 11 patients (85%), even though no discrete areas of narrowing were encountered. A tear was achieved in 9 patients (69%). Nine patients (69%) reported improvement in their dysphagia after dilation. There were no serious complications from the procedure.
Retrospective, single center, small patient numbers in this initial report.
The esophageal balloon pull-through technique for esophageal dilation in patients with EoE appears to be safe and effective. It is a rational approach to gauging the luminal diameter of the esophagus and treating strictures in patients with EoE and dysphagia, but further prospective study is required to confirm these initial results.
嗜酸性食管炎（EoE）是一种慢性炎症性疾病，可并发需要内镜扩张的食管狭窄。尽管最近的数据表明，扩张可以在最小的发病率下有效进行，但安全性和耐受性问题仍然存在。
回顾我们使用新型食管球囊经腔拉通技术在 EoE 中进行测径和扩张的初步经验，并展示一段说明该方法的视频。
病例系列。
三级保健转诊中心。
13 例 EoE 患者。
食管扩张的球囊经腔拉通技术。
扩张效果、球囊尺寸和并发症（食管穿孔、需要内镜止血的出血或需要住院治疗的严重胸痛）。
13 例 EoE 患者（7 例男性，6 例女性；平均年龄 40 岁，范围 19-66 岁）接受了食管球囊经腔拉通技术扩张。11 例患者（85%）在拉通过程中遇到阻力，尽管没有遇到明显的狭窄部位。9 例患者（69%）成功撕裂。9 例患者（69%）在扩张后报告吞咽困难改善。该操作无严重并发症。
本初步报告为回顾性、单中心、小样本量患者。
EoE 患者的食管球囊经腔拉通技术扩张似乎是安全有效的。对于有吞咽困难的 EoE 患者，该技术是一种评估食管腔直径和治疗狭窄的合理方法，但需要进一步的前瞻性研究来证实这些初步结果。
