Recurrent esophageal stricture from previous caustic ingestion treated with 40-year self-dilation: case report and review of literature
| Autor: | A. Allaria, R. Patrone, Nicola Avenia, Andrea Polistena, Claudio Mauriello, Alessandro Sanguinetti, Gabriele Siciliano, Claudio Gambardella, Giovanni Conzo, Salvatore Napolitano |
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| Přispěvatelé: | Gambardella, C., Allaria, A., Siciliano, G., Mauriello, C., Patrone, R., Avenia, N., Polistena, A., Sanguinetti, A., Napolitano, S., Conzo, G. |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Time Factors
Suicide Attempted Case report Caustic ingestion Endoscopic dilatation Esophageal stricture Self-bougienage Self-dilation Aged 80 and over Burns Chemical Dilatation Esophageal Stenosis Esophagus Female Humans Nutritional Status Quality of Life Recurrence Self Care Suicide Attempted Gastroenterology 0302 clinical medicine Quality of life Aged 80 and over General Medicine 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.medical_specialty 03 medical and health sciences Internal medicine Burns Chemical medicine Bougienage lcsh:RC799-869 business.industry Hepatology medicine.disease Surgery Esophageal dilatation Balloon dilation lcsh:Diseases of the digestive system. Gastroenterology business |
| Zdroj: | BMC Gastroenterology, Vol 18, Iss 1, Pp 1-5 (2018) BMC Gastroenterology |
| DOI: | 10.1186/s12876-018-0801-3 |
| Popis: | Background Corrosive esophageal strictures are common. The severity of the strictures depends on type, quantity, duration of contact and concentration of the caustic substance ingested. Endoscopic balloon dilation and endoscopic bougienage are a cornerstone in the management of the benign esophageal strictures and are the most widely used treatments, but are expensive and invasive procedures. Case Presentation We report the case of an 82-year-old patient with a corrosive esophageal stricture treated for over 40 years by means of home self-bougienage. The procedure has been carried out for the longest lapse of time described in literature, with an excellent control of symptoms. In the case reported, after being carried out for more than 40 years, self-dilation allowed good quality of life and symptoms management, ensuring an excellent nutritional status. Conclusions Following an adequate patient training, self-dilatation can be a safe and effective option of treatment, avoiding frequent expensive hospital admissions for endoscopic esophageal dilatation. |
| Databáze: | OpenAIRE |
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