An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid.
- Author:
Woong Ki LEE
1
;
Byung Sun KIM
;
Min A YANG
;
So Hee YUN
;
Young Jae LEE
;
Ji Woong KIM
;
Jin Woong CHO
Author Information
- Publication Type:Case Report
- Keywords: Esophageal stenosis; Caustics; Deglutition disorders; Dilatation
- MeSH: Acetic Acid; Caustics; Constriction, Pathologic; Deglutition; Deglutition Disorders; Dilatation; Esophageal Stenosis*; Female; Gastrointestinal Tract; Humans; Middle Aged; Recurrence
- From:Clinical Endoscopy 2016;49(6):560-563
- CountryRepublic of Korea
- Language:English
- Abstract: Bougie or balloon dilation is a good short-term treatment for caustic esophageal strictures, although recurrence after dilation occurs in approximately 30% of these cases. Therefore, long-term treatment options are required in some cases, and endoscopic incisional therapy has been used for patients with an anastomotic stricture in the gastrointestinal tract. A 58-year-old woman presented with severe swallowing difficulty because of a caustic esophageal stricture, which was caused by accidental exposure to anhydrous acetic acid at infancy. She had undergone several previous bougie and balloon dilations but the stricture did not improve. We performed sequential treatment comprising incision with an insulated-tip knife, balloon dilation, and an oral steroid, which resulted in the patient’s symptoms markedly improving. Thus, we report this case of an intractable caustic esophageal stricture, which was successfully treated using combined endoscopic sequential treatment.
