| Autor: |
Anselmi M, Mario, Orellana F, Gerardo, Innocenti C, Franco, Salgado O, Julio |
| Jazyk: |
Spanish; Castilian |
| Rok vydání: |
2003 |
| Předmět: |
|
| Zdroj: |
Revista médica de Chile, Volume: 131, Issue: 10, Pages: 1111-1116, Published: OCT 2003 |
| Popis: |
Endoscopic dilatation of esophageal strictures is a simple and safe procedure. Aim: To analyze the long term outcome of conservative treatment for esophageal peptic stricture in patients with high surgical risk. Patients and methods: Twenty consecutive patients, 13 male, whose mean age was 75.2 years, with a peptic stricture of the esophagus and high surgical risk were prospectively studied. All were subjected to endoscopic esophageal dilatation and treated with continuous medical antireflux therapy thereafter. Results: Only five patients complied with antireflux treatment on a regular basis. The remaining 15 were non compliant or abandoned it. A total of 56 dilatations were done (mean 2.8 per patient, range 1-6). No complications were observed after the procedure. With a mean follow up period of 49 months, the outcome of the conservative treatment was classified as excellent or good in all the cases. Eight patients (40%) died of causes unrelated to the treatment. Two patients had an organic foreing body impactation. This situation was solved endoscopically in both. Conclusion: In high risk patients, endoscopic dilatation, with or without regular antireflux medical treatment is a simple, safe and effective therapy in the management of peptic oesophagel stenosis (Rev Méd Chile 2003; 131: 1111-6). |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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