Pross M, Manger T, Lippert H
Klinik für Chirurgie, Otto-von-Guericke Universität Magdeburg.
Zentralbl Chir. 1998;123(10):1145-7.
Scar stenoses of the esophagus are caused by peptic reflux or following surgery of the upper gastrointestinal tract. Short scar cicatricial stenoses are difficult to treat and have a high recurrence rate. Pneumatic dilatations show a short term success. We treated 5 patients with a short scar esophageal stenosis after esophagogastrostomy (n = 3) and after esophagojejunostomy (n = 2). The main symptom was dysphagia. X-ray shows the length of the stenosis (max. 1.5 cm). The stenosis was cutted by diathermy in a starshape. In all 5 cases it was possible to achieve the wide lumen. There were no complications. The combination of diathermy and argon-plasma-coagulation is a safe method, rare of complications in the treatment of short scar stenosis of the esophagus.
食管瘢痕狭窄由消化性反流或上消化道手术后引起。短瘢痕性狭窄治疗困难且复发率高。气囊扩张术短期有效。我们治疗了5例食管胃吻合术（3例）和食管空肠吻合术（2例）后出现短瘢痕食管狭窄的患者。主要症状为吞咽困难。X线显示狭窄长度（最长1.5厘米）。狭窄部位用电刀呈星形切开。所有5例均成功实现了管腔增宽。无并发症发生。电刀与氩等离子凝固术联合是一种安全的方法，治疗食管短瘢痕狭窄时并发症少见。
