Kim C H, Groskreutz J L, Gehrking S J
Division of Gastroenterology and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1990 Jun;65(6):799-803. doi: 10.1016/s0025-6196(12)62569-5.
Self-bougienage has rarely been used in the treatment of recurrent benign esophageal strictures. Nonetheless, it has proved to be a useful alternative technique in carefully selected patients. Herein we report our experience with seven symptomatic patients who were treated with self-bougienage for recurrent benign esophageal strictures. These seven patients (six men and one woman; mean age, 66.9 years) had had dysphagia for a mean of 37.9 months and had undergone a mean of 6.7 endoscopic dilations before their involvement in a self-bougienage program. During a mean follow-up period of 36.3 months (range, 10 to 78 months) after initiation of self-bougienage treatment, all seven patients became asymptomatic and remained free of dysphagia. No complications occurred in any patient, and no further endoscopic dilations were necessary. Our results suggest that self-bougienage can provide long-term symptomatic relief in selected patients with recurrent benign esophageal strictures.
自行探条扩张术很少用于复发性良性食管狭窄的治疗。尽管如此，在精心挑选的患者中，它已被证明是一种有用的替代技术。在此，我们报告7例有症状的复发性良性食管狭窄患者接受自行探条扩张术的经验。这7例患者（6名男性和1名女性；平均年龄66.9岁）平均吞咽困难37.9个月，在参与自行探条扩张术治疗前平均接受了6.7次内镜扩张。在自行探条扩张术治疗开始后的平均随访期36.3个月（范围10至78个月）内，所有7例患者均无症状，且无吞咽困难。所有患者均未发生并发症，也无需进一步的内镜扩张。我们的结果表明，自行探条扩张术可为选定的复发性良性食管狭窄患者提供长期的症状缓解。
