Clinical study of self-help inflatable balloon for refractory benign upper digestive tract stricture
- VernacularTitle:体外自助式扩张球囊治疗难治性上消化道良性狭窄的临床研究
- Author:
Qianqian DONG
1
;
Wenbo LI
1
;
Qun LI
1
;
Zengyi MA
1
;
Wenming WU
1
;
Minghui WANG
1
;
Jing WANG
1
;
Feifei FAN
1
;
Kuilin SUN
1
;
Xiaofeng LIU
1
Author Information
- Publication Type:Journal Article
- Keywords: benign upper digestive tract stricture; refractroy benign upper digestive tract stricture; self-help inflatable balloon; dysphagia; curative effect
- From: China Journal of Endoscopy 2025;31(4):80-85
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the efficacy and safety of self-help inflatable balloon in the treatment of refractory benign upper digestive tract stricture.Methods From November 2022 to February 2024,10 patients with refractory benign upper digestive tract stricture underwent self-help inflatable balloon were retrospectively analyzed.Preoperative treatment,intraoperative and postoperative complications,dysphagia score before and after surgery,wearing time of external self-help inflatable balloon,and the clinical efficacy were evaluated.Results All the 10 patients received self-help inflatable balloon treatment.No complications such as bleeding and perforation occurred in all patients during the wearing of the balloon.The placement time of the balloon was 60~180 d,and the average wearing time was 104.9 d.Before surgery,nine cases had a stricture segment length less than 2 cm,and one case had a stricture segment length of 6 cm.The dysphagia score before surgery was(3.60±0.52),and the dysphagia score after removal of the self-help inflatable balloon was(0.60±0.52),and there was statistical significance in preoperative and postoperative comparison(P<0.05).The dysphagia score 3 months after removal of the external self-help inflatable balloon was(0.70±0.48),there was no significant difference in dysphagia score between the day after surgery and 3 months after surgery(P>0.05).The diameter of the stricture before and after operation was(5.09±2.02)mm and(10.35±0.73)mm respectively,and the difference was statistically significant(P<0.05).Sore throat,wing of nose pain and balloon displacement were the most common adverse events,with 30.0%(3/10),50.0%(5/10)and 70.0%(7/10),respectively.Conclusion It is safe,effective and feasible to treat refractory benign upper digestive tract stricture with self-help inflatable balloon in vitro.It is worthy for clinical application.
