Matsuyama Jin, Fukushima Yukio, Hiraki Masayuki, Matsumoto Shinji, Tokuoka Masayoshi, Hashimoto Kazuhiko, Yokoyama Shigekazu, Morita Shunji, Morimoto Takashi, Nomura Takashi, Sasaki Yo
Dept. of Surgery, Yao Municipal Hospital.
Gan To Kagaku Ryoho. 2011 Nov;38(12):2414-6.
We report a case of 50-year-old man with refractory anastomotic stricture after esophagectomy, which was successfully treated with endoscopic triamcinolone injection therapy. He received a curative operation for advanced thoratic esophageal carcinoma (Mt, Type 3, cT3, cN1, MO, Stage III). Anastomotic leakage was occurred as post-operative adverse event, which recovered conservatively, and subsequently resulted in refractory anastomotic stricture. He had a recurrence of dysphagia despite of repeated bougienage and endoscopic balloon dilatation. Four years later, he received an intralesional triamcinolone injection in anastomotic stricture every four weeks. According to the 5 courses of treatment, anastomotic stricture was cured and there was no recurrence confirmed. Intralesional triamcinolone injection may be one of the promising options for the treatment of refractory anastomotic stricture after esophagectomy.
