Huynh P T, de Lange E E, Shaffer H A
Department of Radiology, Box 170, University of Virginia Health Sciences Center, Charlottesville 22908, USA.
Radiology. 1995 Sep;196(3):789-92. doi: 10.1148/radiology.196.3.7644644.
To evaluate treatment of symptomatic esophageal webs with fluoroscopically guided balloon dilation.
Nine consecutively seen patients (women aged 46-87 years) with esophageal webs who reported dysphagia underwent the procedure. Webs were dilated with 20-mm-diameter angioplasty balloons for less than 3 minutes (total procedure time, approximately 30 minutes). Results of treatment (relief of dysphagia) were assessed by evaluating the clinical charts of six of the nine patients and by means of telephone interviews in four. Three patients were lost to follow-up.
For effective treatment, one balloon inflation was necessary in seven patients, two in one patient, and three in another patient during the same session. In two patients with two esophageal webs each, the strictures were treated simultaneously. There were no complications, and all patients reported immediate symptomatic relief. Six patients remained asymptomatic during follow-up of 3 months to 6.8 years (mean, 2.6 years).
Fluoroscopically guided balloon dilation is easy and highly effective in treating symptomatic esophageal webs.
评估在透视引导下使用球囊扩张术治疗有症状的食管蹼。
连续观察9例报告有吞咽困难的食管蹼患者（年龄46 - 87岁的女性）接受了该手术。使用直径20毫米的血管成形术球囊对食管蹼进行扩张，持续时间少于3分钟（整个手术时间约30分钟）。通过评估9例患者中6例的临床病历以及对4例患者进行电话访谈来评估治疗结果（吞咽困难缓解情况）。3例患者失访。
为达到有效治疗，7例患者在同一次手术中需进行1次球囊扩张，1例患者需进行2次，另1例患者需进行3次。在2例各有两个食管蹼的患者中，狭窄同时得到治疗。无并发症发生，所有患者均报告症状立即缓解。6例患者在3个月至6.8年（平均2.6年）的随访期间保持无症状。
透视引导下的球囊扩张术治疗有症状的食管蹼简便且高效。
