Endoscopic therapy through dilatation of benign esophageal stenosis

• Main Authors: Elizabeth Montes de Oca Megías (Author), Guillermo Noa Pedroso (Author), Mildred Cecilia Armenteros Torres (Author), Andria de la Cruz de Oña (Author), Enrique Olazabal García (Author), Norberto Alfonso Contino (Author)
• Format: Book
• Published: Universidad de Ciencias Médicas de La Habana, 2018-01-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1729-519X
• Keywords: Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Revista Habanera de Ciencias Médicas, Vol 17, Iss 1, Pp 103-116 (2018)

<p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Introduction:</strong> Endoscopic dilatation is the first therapeutic option to eliminate benign esophageal stenosis and improve the symptoms and the quality of life of those patients who suffer from it.<br /> </span><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Objective:</strong> To describe the results of endoscopic dilatation in patients with benign esophageal stenosis treated in the National Center for Endoscopic Surgery from January 2015 to December 2016. <br /> </span><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Material and Methods:</strong>A case series longitudinal observational study was conducted in 59 patients with benign esophageal stenosis. Dilatations were done with Savary-Gilliard bougie and balloons.<br /> </span><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Results: </strong>The mean age was 52,5 years, and the condition predominated in 37 male patients (62,7%). Post-surgical, peptic, and caustic were the most frequent etiologies with 25, 14, and 6 cases, respectively. Short stenosis predominated in 51 cases. Bougies were used in 48 patients for a total of 149 dilatations, corresponding to a mean of 3,1 dilatations/ patients. Correction of the stenosis was made in 1-3 sessions in 47 % of patients; 11 cases were dilated with balloon, corresponding to a mean of 1- 3 dilatations/ patients. Four patients from the group that were dilated with Savary-Gilliard bougies showed refractoriness. A perforation, and two bleedings occurred. After the dilatations, dysphagia improved or disappeared in 93,2 % of patients.<br /> </span><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Conclusions:</strong> Endoscopic therapy through dilatation of benign esophageal stenosis indicated to be a good alternative method in achieving corrections in a few dilatation sessions, with a low number of complications, and an improvement of the dysphagia. </span></p><p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong>Keywords:</strong> esophageal stenosis, benign esophageal stenosis, endoscopic therapy, balloon dilatation, dilatation with Savary-Gilliard bougies.</span></p>