Liu Deliang, Tan Yuyong, Zhang Jie, Huo Jirong
Department of Gastroenterology, The Second XiangYa Hospital of Central South University, China.
Intern Med. 2015;54(5):473-5. doi: 10.2169/internalmedicine.54.3360. Epub 2015 Jan 15.
Most cases of esophageal benign stricture can be successfully managed with dilation; however, refractory stricture is often unresponsive to repeated dilation. Endoscopic incision is a novel technique for treating refractory esophageal stricture, although recurrence is noted in patients with stricture measuring greater than 1.5 cm, thus requiring the use of repeated incisions and/or preventive dilation. We herein report a case of refractory esophageal stricture treated with an endoscopic incision and esophageal stenting, which successfully allowed the gastrostomy tube to be removed.
大多数食管良性狭窄病例可通过扩张成功治疗；然而，难治性狭窄通常对反复扩张无反应。内镜下切开是治疗难治性食管狭窄的一种新技术，尽管对于狭窄长度大于1.5 cm的患者会出现复发情况，因此需要重复切开和/或预防性扩张。我们在此报告一例采用内镜下切开和食管支架置入术治疗的难治性食管狭窄病例，该治疗成功使得胃造瘘管得以拔除。
