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).
Main Authors: | , , , |
---|---|
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!
|
id |
oai:scielo:S0034-98872003001000002 |
---|---|
record_format |
ojs |
spelling |
oai:scielo:S0034-988720030010000022004-12-07Estenosis péptica del esófago: resultados alejados del tratamiento conservadorAnselmi M,MarioOrellana F,GerardoInnocenti C,FrancoSalgado O,Julio Endoscopy digestive system Esophageal stenosis Gastroesophageal reflux 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).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.10 20032003-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002es10.4067/S0034-98872003001000002 |
institution |
SCIELO |
collection |
OJS |
country |
Chile |
countrycode |
CL |
component |
Revista |
access |
En linea |
databasecode |
rev-scielo-cl |
tag |
revista |
region |
America del Sur |
libraryname |
SciELO |
language |
Spanish / Castilian |
format |
Digital |
author |
Anselmi M,Mario Orellana F,Gerardo Innocenti C,Franco Salgado O,Julio |
spellingShingle |
Anselmi M,Mario Orellana F,Gerardo Innocenti C,Franco Salgado O,Julio Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
author_facet |
Anselmi M,Mario Orellana F,Gerardo Innocenti C,Franco Salgado O,Julio |
author_sort |
Anselmi M,Mario |
title |
Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
title_short |
Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
title_full |
Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
title_fullStr |
Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
title_full_unstemmed |
Estenosis péptica del esófago: resultados alejados del tratamiento conservador |
title_sort |
estenosis péptica del esófago: resultados alejados del tratamiento conservador |
description |
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). |
publisher |
Sociedad Médica de Santiago |
publishDate |
2003 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002 |
work_keys_str_mv |
AT anselmimmario estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador AT orellanafgerardo estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador AT innocenticfranco estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador AT salgadoojulio estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador |
_version_ |
1755988114544787456 |