Endoscopic radial incision in patients with benign stricture of esophageal anastomosis
10.3760/cma.j.issn.1007-5232.2016.04.002
- VernacularTitle:内镜下放射状切开治疗食管吻合口良性狭窄的临床初探
- Author:
Zhen ZHANG
;
Yiqun ZHANG
;
Weifeng CHEN
;
Wenzheng QIN
;
Mingyan CAI
;
Quanlin LI
;
Xiaoyue XU
;
Pinghong ZHOU
- Publication Type:Journal Article
- Keywords:
Surgical stomas;
Esophageal stenosis;
Endoscopic radial incision
- From:
Chinese Journal of Digestive Endoscopy
2016;33(4):208-210
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate clinical efficacy and safety of endoscopic radial incision( ERI) for benign stricture of esophageal anastomosis. Methods Clinical data of 17 patients with benign stricture of e?sophageal anastomosis undergoing ERI from October 2013 to September 2014 were retrospectively studied. Im?provement of clinical symptom and treatment?related complication or discomfort were intensively analysed. Re?sults All 17 patients successfully received ERI procedures, and the mean operating time was 10 minutes with a mean of 4 incisions. Obvious bleeding and mis?cut of normal mucosa occurred in 1 case, and this patient was cured by endoscopic hemostasis, gastrointestinal decompression and administration of antibiotics. Heartburn oc?curred in 5 patients and disappeared spontaneously without other complications or discomfort. Dysphagia score decreased from 3?11 to 0?90 in the second day after ERI(P<0?01).The mean follow?up time was 15?5 months ( range 9?20 months) . The dysphagia score showed no significant difference between the follow?up period and the second day after ERI ( P>0?05 ) . Conclusion ERI is simple, safe and effective for treating benign stricture of esophageal anastomosis.
