Experience of postoperative stricture of the hypopharynx and esophagus treated by use of celestin dilator
| Autor: | Kenji Koshii, Yasuji Nakasone, Hideki Hirabayashi, Tadashi Hinohara, Tsutomu Fujisawa, Kohei Uno, Haruyuki Ohgaki |
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| Rok vydání: | 1990 |
| Předmět: | |
| Zdroj: | Nihon Kikan Shokudoka Gakkai Kaiho. 41:211-217 |
| ISSN: | 1880-6848 0029-0645 |
| DOI: | 10.2468/jbes.41.211 |
| Popis: | The therapeutic procedures with Celestin dilator were performed on postoperative strictures of the Hypopharynx and Esophagus. Twenty trans-oral dilatation procedures were performed on 9 patients with esophageal strictures.For the case of the hypopharyngeal and esophageal stricture, success rates for this technique averaged 77.7% defined as the resolution of dysphagia and besides X-ray examination showed obviously the dilatation. Efficacy of the dilatation was influenced by the local condition of disease, but strictures with a diameter as small as 4 mm and as long as 12 mm could be fully expended with a single treatment. With multiple applications, these procedures can be extended to treat strictures with a diameter of 2 mm and a total length of up to 22 mm. In one of the nine patiants, there was a complication of a small perforation in the postoperative suture, but it naturally closed one week late. It is cosidered, that in this case, the procedure was performed too early after operation. If the procedure is performed at least 30 days after operation, and the stricture isn't excessively dilated, it will be possible to avoid complications.The procedures with Celestin dilator can be safely and easily applied to esophageal strictures of a variety of causes, with a high degree of clinical success. Celestin dilator treatment for the hypopharyngeal and esophageal strictures must, however, be coupled with appropriate medical management to optimize the clinical response. |
| Databáze: | OpenAIRE |
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