de la Rionda L M, Fragoso T, Sagaro E, Delgado B, Larramendi O, Borbolla E
Hospital Pediátrico J.M. Márquez.
Rev Gastroenterol Peru. 1995 May-Aug;15(2):152-7.
30 patients (less than 15 years old) were admitted for esophageal strictures, 16 of them secondary to corrosive injury. All the patients were treated with endoscopic dilatation with Savary-Gilliard bougie. The dilations were done with general anesthesia using an Olympus GIF-XP10 endoscope and with fluoroscopic control. In the esophageal stenosis secondary to caustic ingestion endoscopic injection with Betamethasone was also used. The most frequent site of the stenosis was the upper third of the esophagus, and the main type of stenosis was tubular in the secondary to caustic burns and annular in the other group. In the post-caustic group 385 dilations were performed in 115 sessions. In the other group 159 dilations were done in 51 sessions. Two perforations and one sepsis were reported in patients with corrosive stenosis. There was no mortality. 43.7% of the patients with corrosive stenosis and 85.7% with stenosis secondary to other causes obtained complete healing. Esophageal dilation with Savary-Gilliard bougies represents a safe and reliable method for the treatment of esophageal strictures.
30例（年龄小于15岁）因食管狭窄入院，其中16例继发于腐蚀性损伤。所有患者均采用Savary-Gilliard探条进行内镜扩张治疗。扩张在全身麻醉下使用奥林巴斯GIF-XP10内镜并在荧光镜控制下进行。对于苛性碱摄入继发的食管狭窄，还采用了倍他米松内镜注射治疗。狭窄最常见的部位是食管上三分之一，狭窄的主要类型在苛性碱烧伤继发者中为管状，在另一组中为环状。在苛性碱烧伤后组，115次治疗中进行了385次扩张。在另一组中，51次治疗中进行了159次扩张。腐蚀性狭窄患者报告有2例穿孔和1例脓毒症。无死亡病例。43.7%的腐蚀性狭窄患者和85.7%的其他原因继发狭窄患者获得完全愈合。使用Savary-Gilliard探条进行食管扩张是治疗食管狭窄的一种安全可靠的方法。
