Jani P G, Mburugu P G
Department of Surgery, College of Health Sciences, University of Nairobi.
East Afr Med J. 1998 Jul;75(7):422-4.
Between March 1990 and August 1997, outpatient endoscopic balloon dilation was performed for oesophageal strictures which developed secondary to malignancies, peptic strictures, post surgical narrowing, achalasia cardia, corrosive ingestion and other causes. A total of 169 dilations were performed in the 92 cases with an average of 1.8 dilation/case (Range 1 to 8). Dilation was possible in all 92 cases without the need for fluoroscopic monitoring. Twenty three (13.6%) of the dilations were performed using pneumatic balloon while in 146(86.4%) cases wire guided metal olives were used. There were nine minor complications which were treated with medication on an outpatient basis and four major complications which required inpatient care. Three of these had perforation of the oesophagus and one died. One other patient developed aspiration pneumonia and subsequently died.
1990年3月至1997年8月期间，对因恶性肿瘤、消化性狭窄、术后狭窄、贲门失弛缓症、腐蚀性摄入及其他原因导致的食管狭窄进行了门诊内镜球囊扩张术。92例患者共进行了169次扩张，平均每例1.8次（范围为1至8次）。所有92例患者均可行扩张术，无需透视监测。23次（13.6%）扩张使用了气囊，146次（86.4%）使用了导丝引导的金属橄榄头。有9例轻微并发症，在门诊接受药物治疗，4例严重并发症需要住院治疗。其中3例食管穿孔，1例死亡。另有1例患者发生吸入性肺炎，随后死亡。
