Fluoroscopy-guided balloon dilation for esophageal strictures in patients with epidermolysis bullosa
10.3969/j.issn.1008-794X.2024.08.010
- VernacularTitle:透视下球囊扩张在大疱性表皮松解症伴食管狭窄中的应用疗效
- Author:
Yujia ZUANG
1
;
Juming YU
;
Wenjie WU
;
Yongde CHENG
;
Jun WANG
Author Information
1. 200092 上海 上海交通大学医学院附属新华医院小儿外科
- Keywords:
epidermolysis bullosa;
esophageal stricture;
balloon dilation
- From:
Journal of Interventional Radiology
2024;33(8):865-869
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of fluoroscopy-guided balloon dilation for esophageal strictures in patients with epidermolysis bullosa(EB).Methods The clinical data and follow-up results of EB patients,who received fluoroscopy-guided balloon dilation due to esophageal stricture at Shanghai Xinhua Hospital from May 2020 to May 2023,were retrospectively collected.The therapeutic efficacy and the prognosis of this treatment method were analyzed.Results A total of 17 EB patients received fluoroscopy-guided balloon dilation treatment due to dysphagia caused by esophageal stricture.Most esophageal strictures were single-site stenosis(13/17,76.5％)and it commonly occurred in the esophageal cervical segment(12/17,70.6％)and the upper thoracic segment(8/17,47.1％)of esophagus.Two patients developed esophageal bleeding after dilatation and no special treatment is required.No other post-treatment complications were observed.In most of the patients(15/17,88.2％)a long-term improvement of the dysphagia symptoms could be obtained after receiving a single balloon dilation treatment.By the last follow-up visit,most of the patients(15/17,88.2％)gained more weight when compared with their pre-treatment body weight,with an average increased weight of 2.97 kg.Conclusion Clinically,EB is a rare etiology that can cause an esophageal stricture.This esophageal stenosis is characterized by a single stenosis mostly located in the upper segment of the esophagus.Fluoroscopy-guided balloon dilation is an effective and safe treatment for this type of esophageal strictures.
