Self-dilatation: An Alternative for Managing Refractory Esophageal Strictures
DOI:
https://doi.org/10.22516/25007440.1035Keywords:
Cáusticos, Estenosis, Dilataciones, AutodilatacionesAbstract
We present the case of a patient with post-caustic stenoses who required surgical management and whose anastomosis was narrowed, requiring dilations using Savary, strictureplasty, and injection therapy without success. Given the recurrence, we decided to train him to do self-dilatation, which was successful since the patient could resume his daily activities. In addition to the photos, the case report provides a video explaining step-by-step the methods used in managing the patient.
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Fugazza A, Repici A. Endoscopic Management of Refractory Benign Esophageal Strictures. Dysphagia. 2021;36(3):504-16. https://doi.org/10.1007/s00455-021-10270-y
Spechler SJ. American Gastroenterological Association medical position statement on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117(1):229-32. https://doi.org/10.1016/S0016-5085(99)70572-X
Qin Y, Sunjaya DB, Myburgh S, Sawas T, Katzka DA, Alexander JA, et al. Outcomes of oesophageal self-dilation for patients with refractory benign oesophageal strictures. Aliment Pharmacol Ther. 2018;48(1):87-94. https://doi.org/10.1111/apt.14807
Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, et al. Natural history and management of refractory benign esophageal strictures. Gastrointest Endosc. 2016;84(2):222-8. https://doi.org/10.1016/j.gie.2016.01.053
Dzeletovic I, Fleischer DE, Crowell MD, Pannala R, Harris LA, Ramirez FC, et al. Self-Dilation as a Treatment for Resistant, Benign Esophageal Strictures. Dig Dis Sci. 2013;58(11):3218-23. https://doi.org/10.1007/s10620-013-2822-7
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