Royston C M, Dowling B L, Gear M W
Am J Surg. 1976 Jun;131(6):697-700. doi: 10.1016/0002-9610(76)90180-x.
We have performed fifty-one dilatations in twenty-six patients using an end-viewing fiberoptic endoscope and Eder Puestow dilators. All (except two) were performed using intravenous diazepam, the majority on an outpatient basis. The only complication has been a single case of aspiration pneumonia. We have found this method of esophageal dilatation particularly useful in the preoperative dilatation of benign strictures, and in those elderly frail patients who are unsuitable for surgery. Transthoracic resection of the stricture is avoided and thus transabdominal repair of the hiatus hernia may be undertaken.
我们使用直视纤维光学内窥镜和埃德尔·普斯托扩张器对26例患者进行了51次扩张。除2例以外，所有操作均使用静脉注射地西泮，大多数在门诊进行。唯一的并发症是1例吸入性肺炎。我们发现这种食管扩张方法在良性狭窄的术前扩张以及那些不适合手术的老年体弱患者中特别有用。避免了经胸狭窄切除术，因此可以进行经腹食管裂孔疝修补术。
