Kochhar R, Sriram P V, Ray J D, Kumar S, Nagi B, Singh K
Dept. of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Endoscopy. 1998 Oct;30(8):734-6. doi: 10.1055/s-2007-1001400.
Gastric outlet obstruction is a well-recognized sequela of corrosive ingestion. Such patients are traditionally treated surgically. We have treated three such patients with intralesional steroid injections combined with through-the-scope balloon dilation. All three patients responded well and are asymptomatic after 12 months, 14 months and 3 years and 3 months of follow-up, respectively. Endoscopic balloon dilation combined with intralesional steroid may be an effective alternative to surgery in such patients.
胃出口梗阻是腐蚀性物质摄入后一种广为人知的后遗症。传统上这类患者采用手术治疗。我们对三名此类患者采用了病灶内注射类固醇联合经内镜球囊扩张术进行治疗。三名患者均反应良好,分别在随访12个月、14个月以及3年零3个月后均无症状。对于此类患者,内镜球囊扩张联合病灶内注射类固醇可能是一种有效的手术替代方案。