Self-dilatation: An Alternative for Managing Refractory Esophageal Strictures

Authors

DOI:

https://doi.org/10.22516/25007440.1035

Keywords:

Cáusticos, Estenosis, Dilataciones, Autodilataciones

Abstract

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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Author Biographies

Martín Alonso Gómez Zuleta, Universidad Nacional de Colombia

Médico Internista y Gastroenterólogo. Profesor asociado de medicina interna. Director unidad de gastroenterología. Universidad Nacional de Colombia. Gastroenterólogo en el Hospital Universitario Nacional. Bogotá, Colombia

Oscar Fernando Ruíz Morales, Universidad Nacional de Colombia

Médico especialista en medicina interna y gastroenterología, Universidad Nacional de Colombia y Hospital Universitario Nacional de Colombia. Bogotá, Colombia

References

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

Figura 1. Vista retrógrada de estenosis completa esofágica. Archivo de los autores.

Published

2024-03-20

How to Cite

Gómez Zuleta, M. A., & Ruíz Morales, O. F. (2024). Self-dilatation: An Alternative for Managing Refractory Esophageal Strictures. Revista Colombiana De Gastroenterología, 39(1), 91–93. https://doi.org/10.22516/25007440.1035

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Section

Case report

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