The Effect of Bougie and Balloon Dilatation on Benign Esophageal Stricture.
- Author:
Ung Suk YANG
1
;
Seung Keun PARK
;
Dae Hwan KANG
;
Chul Soo SONG
;
Mong CHO
;
Geun Am SONG
Author Information
1. Department of Internal Medicine, College of Medicine, Pusan National University
- Publication Type:Original Article
- Keywords:
Esophageal stricture;
Balloon;
Bougie
- MeSH:
Busan;
Constriction, Pathologic;
Deglutition Disorders;
Dilatation*;
Esophageal Stenosis*;
Humans
- From:Korean Journal of Medicine
1998;54(5):660-665
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVES: The causes of benign esophageal stricture were postoperative, corrosive, peptic and after esophageal sclerotheraphy, etc. The patients mainly suffered from dysphagia and insufficient nutrition. Recently, balloon and bougie dilatation were introduced to these patients. This study was performed to evaluate the effectiveness and safety of both procedures in different types of strictures METHODS: 32 patients who presented dysphagia enrolled from March 1996 to August 1997 who visited Pusan National University Hospital. Balloon dilatation was performed on 22 patients and bougie on 10 patients. RESULTS: 1) The causes of stricture were postoperative (18 cases), corrosive (10 cases), hypertensive LES (2 cases), peptic (1 case) and web (1 case). 2) Overall cure rate was 59% in bougie dilatation and 40% in balloon dilatation 3) The cure rate of postopertive stricture was 59% which is significantly higher than that of corrosive stricture (27%), and cure rate of hypertensive LES, peptic stricture and web was 100%. 4) The cure rate of corrosive stricture was significantly higher on bougie dilatation than balloon dilatation. 5) The cure rate of postoperative stricture was similiar between balloon and bougie dilatation 6) The length of stricture was inversly affected on cure rate of both dilatation procedures. 7) Overall complication was 5.6% and similiar between balloon and bougie dilatation. CONCLUSIONS: These results suggested that bougie dilatation was recommended on corrosive stricture and balloon dilatation on postopertive stricture
