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Results for “ESOPHAGEAL STENOSIS”

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At least 235 records · Page 13Linked to original sources
PubMed1991

[Conservative treatment of florid peptic esophageal stenosis. Complete elimination by dilatation and omeprazole in H2-blocker refractory cases].

23 patients with severe reflux oesophagitis complicated by peptic erosive strictures requiring dilatation and resistant to H2-blocker therapy were treated with the proton pump inhibitor omeprazole (initial dosing: 40 mg daily) and dilated. Combination of dilatations (median 2, range 1 to 12 courses) and omeprazole therapy facilitated complete resolution of strictures and disappearance of peptic lesions after four and eight weeks in 30% and 70%, respectively. In all remaining cases healing could be achieved by perpetuation of omeprazole therapy though three patients (13%) required omeprazole doses higher than 40 mg daily for healing and maintenance. Follow-up investigations available in 17 patients during continuation of omeprazole therapy revealed no recurrence of strictures. It is concluded that more pronounced and particularly longer lasting inhibition of acid secretion is effective even in these most severe cases of reflux oesophagitis.

Adolescent↗
PubMed1998

Endosonography in the assessment of esophageal stenosis.

EUS is an invaluable tool to delineate the cause of esophageal strictures. In primary esophageal carcinoma, EUS is the most accurate means for locoregional tumor staging. The addition of EUS FNA improves lymph node staging accuracy over EUS alone. EUS FNA can also play a role in diagnosing the cause of strictures associated with lymphadenopathy or metastatic tumor. In all settings, aggressive dilation to allow passage of the echoendoscope is associated with a substantial risk of perforation and should be avoided. To overcome this problem, catheter-based and over-the-wire probes are being developed to permit EUS imaging of severe stenoses.

Biopsy, Needle↗
PubMed2002

[Balloon catheter dilatation in pharyngo-esophageal stenosis].

On the scarring strictures at the level of the pharyngo-esophageal junction, for example following surgery for pharyngo-laryngeal tumours, the treatment was traditionally the use of transoral dilators, as the metallic spark plugs or olives. At present the balloon catheters are the election technique for all cases. The advantages for the balloon catheters versus the traditional methods are the smaller morbidity and mortality, the effectiveness, simplicity and little cost. We show the protocol done in our center for the dilation of these strictures.

Catheterization↗