Ogilvie A L, Ferguson R, Atkinson M
Gut. 1980 Jan;21(1):23-5. doi: 10.1136/gut.21.1.23.
In order to assess the outlook for patients with peptic oesophageal strictures treated by Eder Puestow dilatation at fibreoptic endoscopy, 50 patients were followed up for periods ranging from nine months to four years. Twenty patients (40%) required only a single dilatation, and the remaining 30 (60%) required multiple dilatations. The frequency of dilatation tended to decrease with time. There was one death attributable to the procedure. Two patients developed an adenocarcinoma at the site of the stricture. We conclude that conservative management of peptic oesophageal stricture combining the use of dilatation at fibreoptic endoscopy with medical measures to control gastro-oesophageal reflux offers a relatively safe means of providing symptomatic relief, maintaining nutrition, and allowing the patient an acceptable quality of life.
为评估经纤维内镜下埃德尔-普斯托扩张术治疗的食管消化性狭窄患者的预后，对50例患者进行了为期9个月至4年的随访。20例患者（40%）仅需单次扩张，其余30例（60%）需要多次扩张。扩张频率随时间趋于降低。有1例死亡归因于该手术。2例患者在狭窄部位发生腺癌。我们得出结论，食管消化性狭窄的保守治疗，即将纤维内镜下扩张术与控制胃食管反流的药物措施相结合，提供了一种相对安全的方法来缓解症状、维持营养并使患者拥有可接受的生活质量。
