Fregonese D, Di Falco G, Di Toma F
Department of Surgery, Regional General Hospital of Treviso, Italy.
Endoscopy. 1990 Nov;22(6):249-53. doi: 10.1055/s-2007-1012863.
Since 1983 we have treated 59 consecutive patients with anastomotic intestinal strictures. In 43 cases the stenosis was located in the esophagus, and in 16 cases in the colon. The balloon catheter was positioned under fluoroscopic and endoscopic control. The number of dilatations required by each patient ranged from one to five, with 47% of our patients receiving only one session, and 23% two sessions. We had no initial treatment failures. We observed stricture relapse in 10.1% of our cases, occurring within two to five months. In these patients repeat dilatation was 100% successful. We had no significant complications. All the patients with esophageal stricture were able to eat solid food after dilatation. Long-term results and relapse-free intervals have been assessed on a clinical basis with a mean follow-up of 26.5 months. Balloon dilatation would seem a safe and reliable method of treating anastomotic strictures, with special emphasis on stenosis with a small diameter, and tortuosity of the gut.
自1983年以来，我们连续治疗了59例吻合口肠道狭窄患者。其中43例狭窄位于食管，16例位于结肠。球囊导管在荧光镜和内镜控制下定位。每位患者所需的扩张次数为1至5次，47%的患者仅接受一次治疗，23%的患者接受两次治疗。我们没有初次治疗失败的情况。我们观察到10.1%的病例出现狭窄复发，发生在2至5个月内。在这些患者中，重复扩张100%成功。我们没有严重并发症。所有食管狭窄患者扩张后都能进食固体食物。已根据临床情况评估了长期结果和无复发间隔，平均随访26.5个月。球囊扩张似乎是治疗吻合口狭窄的一种安全可靠的方法，尤其适用于小直径狭窄和肠道迂曲的情况。
