Aste H, Munizzi F, Saccomanno S, Pugliese V
Endoscopy. 1983 Mar;15(2):41-3. doi: 10.1055/s-2007-1018606.
The "Splitting" action of metal olives, and the stretching effect of tapering Neoplex tubes of increasing diameter on dysphagia in a group of 55 consecutive patients with esophageal strictures are compared. Dilators were passed over a fibreoptic endoscopically positioned guide wire. Greater relief of dysphagic symptoms was obtained with the stretching procedure, mainly in postanastomotic and peptic strictures. Both procedures were safe, but the stretching technique was easier and resulted in wider dilations in most patients. Consecutive dilations using stretching procedures in malignant strictures appear to be an appropriate easy and safe alternative to endoprosthesis insertion.
比较了金属橄榄头的“劈裂”作用以及直径递增的锥形Neoplex管对一组55例连续性食管狭窄患者吞咽困难的扩张效果。扩张器通过纤维内镜定位的导丝置入。扩张术能更有效地缓解吞咽困难症状，主要是吻合口后狭窄和消化性狭窄。两种操作都很安全，但扩张技术更简便，且在大多数患者中能实现更大程度的扩张。对于恶性狭窄，连续采用扩张术进行扩张似乎是一种合适的、简便且安全的替代内置假体置入的方法。
