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Electrocautery therapy for refractory anastomotic strictures of the esophagus.

Abstract：

BACKGROUND:Anastomotic esophageal stenoses after esophageal resection are common and sometimes are refractory to Savary bougie dilation. The efficacy of electrocautery needle-knife treatment in these patients is described. METHODS:Twenty patients with a refractory anastomotic stricture of the esophagus were treated with electrocautery and were followed for 12 months. All patients had recurrence of dysphagia despite repeated bougienage. OBSERVATIONS:All 12 patients with a stricture shorter than 1 cm remained without dysphagia after a single treatment. In all 8 patients with a long-segment stenosis of 1.5 to 5 cm, dysphagia recurred, and a mean of 3 treatments were necessary. The interval between electrocautery treatments was significantly longer compared with bougienage. There were no complications. The body weight of all patients increased. CONCLUSIONS:Electrocautery seems to be a good single-treatment modality for refractory short-segment anastomotic strictures, whereas longer-segment stenoses appear to require repeated treatment sessions before similar results are obtained.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Hordijk ML,Siersema PD,Tilanus HW,Kuipers EJ

doi

10.1016/j.gie.2005.06.016

keywords:

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

157-63

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(05)02114-0

journal_volume

63

pub_type

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