Estenosis péptica del esófago: resultados alejados del tratamiento conservador

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).

Bibliographic Details

Main Authors:	Anselmi M,Mario, Orellana F,Gerardo, Innocenti C,Franco, Salgado O,Julio
Format:	Digital revista
Language:	Spanish / Castilian
Published:	Sociedad Médica de Santiago 2003
Online Access:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002
Tags:	Add Tag No Tags, Be the first to tag this record!