Esophageal strictures in adult eosinophilic esophagitis: dilation is an effective and safe alternative after failure of topical corticosteroids
| Autor: | F. Seibold, U. Scheurer, J. Gschossmann, Alain M. Schoepfer, Alex Straumann |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Administration Topical Gastroenterology Risk Assessment Severity of Illness Index Catheterization Cohort Studies Adrenal Cortex Hormones Internal medicine Eosinophilic Eosinophilia medicine Bougienage Esophagitis Humans Treatment Failure Eosinophilic esophagitis Child Retrospective Studies Esophageal disease business.industry medicine.disease Surgery Child Preschool Esophageal Stenosis Female Esophagoscopy medicine.symptom Complication business Odynophagia Follow-Up Studies |
| Zdroj: | Endoscopy. 40(2) |
| ISSN: | 1438-8812 |
| Popis: | Strictures are a frequent complication of eosinophilic esophagitis. The efficacy and safety of topical corticosteroids and of dilation of eosinophilic esophagitis-associated strictures have not yet been thoroughly clarified. We present a retrospective analysis of 10 adult patients with eosinophilic esophagitis who had symptomatic esophageal stenosis that was unresponsive to topical corticosteroids, and who were treated using bougienage. Eight patients had one single stricture, one patient had two, and another had three strictures; mean stricture length was 2.1 cm (range 1 - 6 cm). Bougienage led to prompt symptom relief. Apart from transient postprocedural odynophagia, no severe complications occurred. During the follow-up (mean 6 months; range 2 - 11 months), all patients enjoyed sustained treatment response. |
| Databáze: | OpenAIRE |
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