Musbahi A, Viswanath Yks
Upper GI Laparoscopic and Endoscopic Unit, James Cook University Hospital, Middlesbrough TS43BW, Cleveland, United Kingdom.
World J Gastrointest Endosc. 2019 May 16;11(5):389-394. doi: 10.4253/wjge.v11.i5.389.
Benign oesophageal strictures secondary to caustic ingestion are rare and difficult to manage. They often present with symptoms such as chest pain, dysphagia and vomiting. Surgical resection is often not justified in majority of these cases who later presents with recurrent benign stricture.
We present a unique case of a patient who presented with post-oesophagectomy gastric conduit outlet obstruction (POGO) secondary to caustic ingestion. Our patient had already undergone two stage oesophagectomy with pyloroplasty for operable oesophageal cancer with curative intent 5 years prior. This is a distinctive case, where a successful deployment of a SX-ELLA biodegradable (BD) stent (019-10A-28/23/28-080) after failed dilatations. We have briefly reviewed literature with regards to the role BD stents in patients with recurrent benign stricture and discussed management dilemma.
We recommend the attending gastroenterologist should bear the usefulness of BD stents in the management of refractory POGO after oesophagectomy.
腐蚀性物质摄入继发的良性食管狭窄罕见且难以处理。它们常表现为胸痛、吞咽困难和呕吐等症状。在大多数后来出现复发性良性狭窄的病例中，手术切除往往不合理。
我们报告了一例独特的患者，该患者因腐蚀性物质摄入继发食管切除术后胃管道出口梗阻（POGO）。我们的患者在5年前已因可切除的食管癌接受了两阶段食管切除术并进行了幽门成形术，目的是治愈。这是一个独特的病例，在扩张失败后成功植入了SX-ELLA可生物降解（BD）支架（019-10A-28/23/28-080）。我们简要回顾了关于BD支架在复发性良性狭窄患者中的作用的文献，并讨论了管理困境。
我们建议主治胃肠病学家应了解BD支架在食管切除术后难治性POGO管理中的作用。
