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At least 307 records · Page 17Linked to original sources
PubMed1984

Esophageal stenosis: treatment with balloon catheters.

We have performed 84 balloon dilatations in 40 patients who had esophageal strictures. Of these patients, 31 who had benign diseases improved, and the procedure proved to be safe, reliable, and easy to perform; in 77% of these patients, only one or two dilatations were necessary. In 10 patients who had previously undergone treatment with bougienage, the symptom-free interval of 9.3 months following balloon dilatation is four times longer than that experienced following bougienage. In patients who have malignant disease, though the symptom-free intervals are short, the procedure can be repeated easily and is accepted well by patients so that palliation can be achieved. Since only readily controlled transverse forces act in the balloon therapy, rupture is virtually eliminated, while the use of a flexible angiographic guidewire to traverse the strictures practically excludes perforation. Balloon dilatation offers distinct advantages compared with bougienage for the treatment of esophageal strictures.

Angioplasty, Balloon↗
PubMedDate not supplied

[Preoperative modern evaluation of patient with esophageal stenosis].

It is well known the difficulty of a precise evaluation in the pretherapeutic stage of any esophageal pathology, especially that of obstructive lesions. Preoperatory information should be as accurate as possible, any evaluation error leading to surgical manoeuvres that can later be regretted. From the current practice one can easily observe that there is no typical exploratory protocol, each having its own specific limits, high costs that are not negligible, and some of them are not always immediately available. It is obvious that para-clinic approach has changed, due to technological progress that has increased the accuracy of medical information, but has also increased costs. The standard protocol has lead to a retrospective analysis of the esophageal obstruction cases that were hospitalized in the Sf Maria Clinic of Surgery, during 1981-2002, regarding diagnostic algorythm and treatment used.

Diagnosis, Differential↗
PubMed2004

[Two cases of cancerization of esophageal stenosis due to a caustic burn].

The incidence of carcinoma of the esophagus within patients with chronic esophageal stricture caused by ingestion of corrosive agents is reported to be significantly higher than in the general population. Two patients developped carcinoma of the esophagus respectively 25 and 40 years after corrosive injury. One of these patients had initially gastrostomy and repeated esophagal dilation. Taking into account the high incidence of carcinoma in the site of esophageal stricture, we conclude that the resection of the esophagus is indicated in patients with chronic caustic stricture if there is any finding suggestive of malignancies such as a long duration of the lesions more than 20 years particulary when the ingested agent was caustic soda or sudden aggravation of preexisting dysphagia.

Adult↗
PubMed1990

[Anesthesiologic problems in transluminal balloon dilatation of esophageal stenosis in children].

The authors report their anesthesiological experience in 88 cases of transluminal balloon dilatation of esophageal strictures in children. The most serious problems are caused by the need to repeat the dilatation process (up to a maximum of 24 times in one patient) and to the risk of extrinsic mechanical compression of the trachea with consequent transient anoxia. Good sedation was achieved using premedication with haloperidol and diazepam, but was not sufficient to avoid the child's anxiety on entering the operating theatre. Anesthesia using ketamine plus fentanyl, combined with tracheal intubation gave good results in almost all cases, but marked bradycardia was observed in several patients during balloon dilatation. In conclusion, although the technique itself is simple to perform, very careful anesthesia is required to avoid the risk of serious intraoperative complications.

Anesthesia↗
PubMed1988

[Our experience with surgery of esophageal stenosis caused by caustic soda. Apropos of 128 cases].

The authors report a series of 128 cases of esophageal burns due to caustic soda, treated between 1974 and 1987 in the Dept. of Surgery of the Friguia Kimbo Alumina Factory Hospital. 95% of patients were children aged less than 15. Ingestion was generally accidental. In view of the delay before patients were seen, in addition to parenteral alimentation, nutrition was covered by an alimentation gastrostomy performed in 96% of patients immediately following admission. Dilator treatment was used in 37 patients with 29 good result, 6 failures, and 2 perforations with 1 death. Retrosternal esophagoplasty using the transverse colon was performed in 95 cases with a 96.8% cure rate over a total follow-up period of 1 to 10 years, and 3 deaths. Overall mortality taking all categories together was 5.4%. The authors used these results as a basis for reviewing this condition, attempting to define as a basis for reviewing this condition, attempting to define the therapeutic methods successively used in the Guinea medico-social context.

Adolescent↗