腐蚀性损伤(CI)成为医疗问题相关的并发症包括食道,幽门狭窄和鳞状细胞癌,身体和生活质量。内镜(ED)扩张是主要治疗方法。超薄内窥镜辅助方法在避免技术故障方面可能是安全且有用的。描述ED相关CI的临床结果,包括成功,耐火材料,经常性,和并发症相关的程序。在Soetomo总医院接受扩张的CI后食管和/或幽门狭窄患者的病例系列研究(2018年7月-2022年7月)。每两周一次使用ThroughTheScope(TTS)气球或SavaryBougie扩张器进行ED。靶直径为14mm。15例狭窄相关CI患者。11例患者接受ED,共73例手术。平均年龄31,45岁,主要是男性患者(6),自杀未遂(7)酸剂(9),位于食道(3),幽门(3),或两者(5)。对于简单和复杂的狭窄,达到14mm目标的食管扩张次数为1-2次和2-15次。5例食管狭窄成功扩张,但2例复发,3例难治性ED。幽门扩张导致成功率较低。复发和难治性病例分别为5例和3例。采用超薄内窥镜的ED方法可用于在ED期间遍历导丝。持续的炎症和纤维化与复发性和难治性狭窄有关。
Corrosive injuries (CI) become medical problems related complications include
esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding technical failure. Describe clinical outcomes of ED ED-related CI including successful, refractory, recurrent, and complications-related procedures.
Case series study of
esophageal and/or pyloric stricture patients after CI who underwent dilatation at Soetomo General Hospital (July 2018 - July 2022). One - biweekly ED using Through The Scope (TTS) balloon or Savary Bougie dilator. The target diameter is 14mm. Fifteen patients with stricture-related CI. Eleven patients underwent ED with a total of 73 procedures. Mean age 31,45 years, predominantly male patients (6), suicide attempt (7), acid agent (9), located at esophagus (3), pylorus (3), or both (5). Number of
esophageal dilatation to achieve the target of 14 mm was 1-2 and 2-15 procedures for simple and complex stricture. Five
esophageal strictures were successfully dilated but 2 patients were recurrent and 3 cases were refractory to ED. Pyloric dilatation resulted in a lower success rate. Recurrent and refractory cases were 5 and 3 patients respectively. ED with ultrathin endoscope method is useful for traversing guidewire during ED. Ongoing inflammation and fibrosis were linked to recurrent and refractory stricture.