Groitl H
Endoscopy. 1984 Sep;16(5):168-70. doi: 10.1055/s-2007-1018571.
Short cicatricial stenoses following surgery of the upper gastrointestinal tract are difficult to treat and have a high recurrence rate. A method of eliminating stenoses endoscopically with the aid of diathermy is described. This method has, to date, been employed in 51 patients, and only a single serious complication has been observed. The procedure can thus be recommended, since reoperation with resection of the anastomosis is associated with a very high rate of complications. A new method of treating scar stenosis in the upper GI tract, which develops in particular after surgical anastomosis of the esophagus, is described, in 51 patients this method helped replace bougienage. This method obviates the need for life-long, unpleasant dilatation with the bougie in the mostly elderly patients.
上消化道手术后的短瘢痕性狭窄难以治疗且复发率高。本文描述了一种借助透热法在内镜下消除狭窄的方法。迄今为止，该方法已应用于51例患者，仅观察到1例严重并发症。因此，鉴于吻合口切除再手术的并发症发生率非常高，该手术方法值得推荐。本文描述了一种治疗上消化道瘢痕狭窄的新方法，这种狭窄尤其在食管手术吻合后出现，在51例患者中，该方法有助于替代探条扩张术。这种方法避免了在大多数老年患者中使用探条进行终身不愉快扩张的需要。
