Jones D B, Smith P M
Endoscopy. 1981 Mar;13(2):55-6. doi: 10.1055/s-2007-1021646.
Over a four year period, 66 patients have undergone fibreoptic endoscopy and Eder Puestow dilatation for a presumed benign oesophageal stricture. Ten patients were subsequently shown to have carcinoma of the oesophagus. There were 121 dilatations with only one perforation, which healed with conservative treatment. Twenty eight of the 56 patients with a benign stricture have required only one dilatation with relief of dysphagia during follow-up periods ranging from 11 months to 61 months (mean 29 months). In those requiring repeat dilatations, relief has been obtained for periods ranging from two weeks to 35 months (mean 6 months). Mean time to restricture in the carcinoma group was two weeks. We conclude that the Eder Puestow method is safe, well tolerated, and less than 5% will require surgery. Strictures which recur rapidly should arouse suspicion of malignancy.
在四年期间，66例患者因疑似良性食管狭窄接受了纤维内镜检查和埃德尔-普斯托扩张术。随后发现其中10例患者患有食管癌。共进行了121次扩张，仅发生1例穿孔，经保守治疗后愈合。56例良性狭窄患者中，28例仅需进行1次扩张，随访时间为11个月至61个月（平均29个月），吞咽困难得到缓解。在需要重复扩张的患者中，缓解时间为2周至35个月（平均6个月）。癌组再次狭窄的平均时间为2周。我们得出结论，埃德尔-普斯托方法安全、耐受性良好，不到5%的患者需要手术。迅速复发的狭窄应引起对恶性肿瘤的怀疑。
