London R L, Trotman B W, DiMarino A J, Oleaga J A, Freiman D B, Ring E J, Rosato E F
Gastroenterology. 1981 Jan;80(1):173-5.
Most benign strictures of the esophagus can be successfully dilated with conventional bougienage techniques. Occasionally strictures are so severe, lengthy, or irregular that these techniques fail, and surgery is required. We describe 2 patients with such severe esophageal strictures that conventional techniques were initially unsuccessful. However, esophageal dilatation of both strictures was successful using the Grüntzig balloon catheter. A torqueable guide wire was initially directed through the stricture under fluoroscopic control. The balloon catheter was then passed over the guide wire and inflated sequentially to a maximum diameter of 9 mm. Subsequent dilatations using conventional techniques were successful. The technique of negotiating severe, irregular esophageal strictures with a torqueable guide wire followed by Grüntzig balloon catheter dilatation may be valuable in the management of severe esophageal strictures.
大多数食管良性狭窄可通过传统的探条扩张技术成功扩张。偶尔，狭窄会非常严重、冗长或不规则，以至于这些技术会失败，此时就需要进行手术。我们描述了2例这样严重的食管狭窄患者，传统技术最初未能成功。然而，使用Grüntzig球囊导管成功扩张了这两个狭窄部位。首先在透视控制下将可弯曲导丝穿过狭窄部位。然后将球囊导管沿导丝推送并依次充气至最大直径9毫米。随后使用传统技术进行的扩张也取得了成功。用可弯曲导丝穿过严重、不规则的食管狭窄部位，随后进行Grüntzig球囊导管扩张的技术，在严重食管狭窄的治疗中可能具有重要价值。
