Jaffray B, Anderson J R
Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Dis Esophagus. 1998 Apr;11(2):109-13; discussion 114-5. doi: 10.1093/dote/11.2.109.
A retrospective analysis of 113 consecutive cases of benign esophageal stricture, all secondary to gastroesophageal reflux, 100 treated conservatively, 13 treated surgically, has been carried out in conjunction with a postal questionnaire of patients. Patients were requested to grade both their swallowing ability and the acceptability of their treatment. Of those responding to questionnaire, 88% of patients treated conservatively found their treatment acceptable or better, and 72% were left with either no or minimal restriction of diet. There was no correlation between either the total number or frequency of dilatations and the result achieved. Similarly, patient satisfaction appears largely independent of these variables. Doctors should be wary of taking recurrence of a stricture after initial dilatation as indicating a poor eventual outcome or a dissatisfied patient. There was no difference in terms of either the result or patient satisfaction between conservatively treated and surgically treated patients.
对113例连续的良性食管狭窄病例进行了回顾性分析，所有病例均继发于胃食管反流，其中100例采用保守治疗，13例采用手术治疗，并同时向患者发放了邮政调查问卷。要求患者对其吞咽能力和治疗的可接受性进行评分。在回复问卷的患者中，88%接受保守治疗的患者认为其治疗可接受或更好，72%的患者饮食无限制或仅有轻微限制。扩张的总数或频率与治疗效果之间均无相关性。同样，患者满意度在很大程度上似乎与这些变量无关。医生应警惕将初次扩张后狭窄复发视为最终预后不良或患者不满意的指标。保守治疗和手术治疗的患者在治疗效果或患者满意度方面均无差异。
