ABSTRACT
Background. Benign oesophageal strictures (BOSs) are a debilitating health concern in the paediatric populations of developing countries; which lead to impaired weight gain. Various non-surgical methods may be used to address these strictures.Objectives. To compare the success and complications of fluoroscopically guided Savary-Gilliard bougienage (SGB) with balloon dilatation and the combination of both methods for the treatment of BOSs in children at Universitas Hospital; Bloemfontein; South Africa.Methods. A retrospective review of the patient notes on all children ?12 years who underwent oesophageal dilatation for benign strictures from January 2001 to June 2012 was performed. Interventional radiologists performed the dilatations on children under general anaesthesia either by angioplasty balloon; SGB or a combination of both. Postdilatation contrast swallows were done to confirm the absence of perforation.Results. A total of 432 oesophageal dilatations was performed on 63 children aged ?12 years. Of these; 36 were males (57); and 71 were exclusive balloon dilatation; 19 exclusive SGB and 10 utilised both techniques. Five dilatations failed (1.2) and no complications were documented. Average follow-up dilatations needed per procedure were 8.3 after SGB; 7.2 after balloon dilatation; and 4.2 after a combined method (p0.05). Strictures due to caustic ingestion required; on average; more dilatations (n
Subject(s)
Child , Esophageal Stenosis , Gastric Dilatation , Retrospective StudiesABSTRACT
Background: Post endoscopic sclerotherapy esophageal stricture is usually not fatal but may requires several sessions of esophageal dilation as an effective palliative treatment yet has its own complications. Aim: The purpose of this study is to find out the predictors of sclerotherapy esophageal stricture. Methods: This is a cross sectional descriptive study of the esophageal stricture post sclerotherapy for the patients who were managed in the period from January 2000 through the June 2007 in endoscopic department at Ibn Sina Hospital. Post endoscopic sclerotherapy symptoms; signs; diagnostic and therapeutic methods were analysed to find out possible predictors of developing benign esophageal stricture. Result: A 33 out of 10133 patients who had sclerotherapyl were found to have esophageal stricture and were included in this study. 91of them were males; 88were 60years old and most of them were cases of hepatic periportal fibrosis. Only two patients had esophageal varices secondary to viral hepatitis B liver cirrhosis. Their presentation was commonly with difficulty in swallowing and few cases presented with food impaction. The majority of patients were treated with wire guided endoscopic Savary Gilliard dilation. Conclusion: Esophageal stricture following endoscopic injection sclerotherapy is a known morbidity; however the rate of these strictures is fairly acceptable. High dose of sclerotherapy in fewer sessions over a short period are potential predictors of esophageal stricture
Subject(s)
Cross-Sectional Studies , Endoscopy , Esophageal Stenosis/diagnosis , Sclerotherapy , Signs and SymptomsABSTRACT
In this paper; we present a case report of a severe oesophageal stricture in a pregnant woman that was successfully dilated endoscopically with improved maternal and foetal outcomes
Subject(s)
Case Reports , Endoscopy , Esophageal Stenosis , PregnancyABSTRACT
La stenose caustique de l'oesophage est une affection de plus en plus rencontree au Zaire; surtout dans ses formes compliquees d'alteration majeure de l'etat general. Ce qui impose au clinicien de rechercher a retablir cette derniere avant d'envisager la repartition du transit oesophagien. Une etude comparative menee aux C.U.K. de 1970 a 1990; sur les possibilites therapeutiques accessibles en fonction de moyens et d'infrastructures locaux permet de conclure a la suprematie de l'oesophagoplastie retrosternale en un temps sur les autres methodes therapeutiques. Elle offre un confort suffisant au malade et de plus ses resultats fonctionnels sont en general tres bons