Bechtler Matthias, Vollmer Heiko, Vetter Stephan, Fuchs Erik-Sebastian, Weickert Uwe, Jakobs Ralf
Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
Medizinische Klinik II, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany.
Endoscopy. 2014 Sep;46(9):795-7. doi: 10.1055/s-0034-1377304. Epub 2014 Jun 30.
Endoscopic bougienage seems to be the most effective therapy for dysphagia in esophageal intramural pseudodiverticulosis (EIPD), but nothing is known about the long-term success of this treatment option. This report presents long-term results for 21 of 22 patients with EIPD who were treated with bougienage. A total of 103 sessions of bougienage up to a diameter of 18 mm were performed, without major complications and with 100 % clinical success. During follow-up, symptom recurrence with further bougienage occurred in 12 /21 patients (57 %), who had variable symptom-free intervals (range 1.5 - 96 months). Symptom recurrence was associated with concomitant reflux esophagitis. Although this series demonstrates that bougienage is an effective method for relieving dysphagia in EIPD, the long-term effectiveness is limited.
内镜扩张术似乎是治疗食管壁内假性憩室病（EIPD）吞咽困难最有效的方法，但对于这种治疗方法的长期疗效尚无定论。本报告介绍了22例接受扩张术治疗的EIPD患者中21例的长期治疗结果。共进行了103次直径达18毫米的扩张术，无重大并发症，临床成功率达100%。随访期间，21例患者中有12例（57%）出现症状复发并需进一步扩张术治疗，其无症状间隔时间不等（1.5 - 96个月）。症状复发与反流性食管炎有关。虽然该系列研究表明扩张术是缓解EIPD吞咽困难的有效方法，但其长期疗效有限。
