Application of endoscopic ultrasonography guided reverse dissection for refractory benign esophageal stricture
10.3760/cma.j.cn321463-20200316-00199
- VernacularTitle:内镜超声引导下反向切开术治疗食管良性难治性狭窄的初步应用
- Author:
Yiyi HU
1
;
Guoping DU
;
Guohua LI
;
Xiaoliang LUO
;
Yingji ZHAI
Author Information
1. 南方医科大学顺德医院（佛山市顺德区第一人民医院）VIP医学中心 528308
- From:
Chinese Journal of Digestive Endoscopy
2020;37(8):558-561
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect and safety of endoscopic ultrasonography guided reverse dissection for refractory benign esophageal stricture.Methods:Seventeen patients with refractory benign esophageal stricture were selected for endoscopic ultrasonography guided reverse dissection in Shunde Hospital, Southern Medical University from January 2016 to December 2019. The clinical data including operation success rate, complications and clinical efficacy were analyzed.Results:All 17 patients were successfully treated with endoscopic ultrasonography guided reverse dissection. The operating time was 38.82±24.27 minutes. No serious complications such as major bleeding, perforation, and infection were found during and after the operation. The follow-up time ranged from 3 to 44 months. Four patients had symptoms of dysphagia again at 3, 12, 18, and 26 months after operation, and re-examination of gastroscopy revealed recurrent esophageal stenosis. The rest of the patients did not re-stenosis until the last time of follow-up.Conclusion:Endoscopic ultrasonography guided reverse dissection is a safe and effective treatment for refractory benign esophageal stricture.
