Godzhello E A, Gallinger Iu I, Khrustaleva M V, Evdokimova E V, Khodakovskaia Iu A
Khirurgiia (Mosk). 2013(2):97-104.
Authors analyze their 25-year experience of endoscopic treatment of benign cicatrical strictures of esophagus and esophageal anastomotic strictures. Special attention is paid to technical aspects of bouginage of critical (diameter up to 2 mm) and substantial (3-5 mm of esophagus lumen) esophageal strictures. The advantages of the bouginage in comparison with balloon dilatation are substantiated. Basic principles of jatrogeny prevention are formulated, together with demonstration of complications, caused by too long stenting of the esophagus. The important role of planned sustaining bouginage for restenosis prevention is marked. Treatment tactics by excessive long esophagus strictures is defined.
作者分析了他们25年来内镜治疗食管良性瘢痕性狭窄和食管吻合口狭窄的经验。特别关注了食管临界性（直径达2毫米）和实质性（食管腔3至5毫米）狭窄的探条扩张技术方面。证实了探条扩张相对于球囊扩张的优势。阐述了预防医源性损伤的基本原则，并展示了因食管支架置入时间过长而导致的并发症。强调了计划性维持探条扩张在预防再狭窄方面的重要作用。明确了过长食管狭窄的治疗策略。
