Foster D R
Department of Radiology, Princess of Wales Hospital, Bridgend, South Wales, United Kingdom.
Australas Radiol. 1995 Nov;39(4):399-400. doi: 10.1111/j.1440-1673.1995.tb00321.x.
The use of self-expanding prostheses in the management of malignant oesophageal strictures has become well established. The majority of benign peptic oesophageal strictures can be successfully managed using endoscopic or fluoroscopically guided balloon oesophageal dilatation combined with long-term drug therapy, particularly using proton pumper inhibitors. Although endoscopic oesophageal dilatation can be performed on an outpatient basis, it requires repeated hospital visits. There is a small risk of oesophageal perforation whilst cardio-respiratory complications may be encountered during the use of intravenous sedation in an elderly population. The use of a self-expanding Strecker stent in a 98 year old woman with a benign oesophageal stricture is described.
自膨式假体在恶性食管狭窄治疗中的应用已得到广泛认可。大多数良性消化性食管狭窄可通过内镜或透视引导下的球囊食管扩张术联合长期药物治疗成功处理,尤其是使用质子泵抑制剂。尽管内镜下食管扩张术可在门诊进行,但需要多次复诊。存在食管穿孔的小风险,而在老年人群中使用静脉镇静时可能会出现心肺并发症。本文描述了一名98岁患有良性食管狭窄的女性使用自膨式施特雷克支架的情况。