Terapia incisional endoscópica como alternativa terapéutica en estenosis esofágica anastomótica refractaria a tratamiento convencional / Incisional endoscopic therapy as a therapeutic alternative in esophageal anastomotic strictures refractory to conventional treatment
Rev. esp. enferm. dig
; 111(9): 717-719, sept. 2019. ilus, graf
Article
in Spanish
| IBECS
| ID: ibc-190359
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Las estenosis esofágicas anastomóticas son una causa no desdeñable de estenosis benigna y disfagia secundaria. Cabe destacar que son estenosis a menudo complejas, con un gran componente isquémico-fibrótico y, por tanto, difíciles de tratar por su recurrencia a pesar de dilatación endoscópica. En este tipo de pacientes, aparece como alternativa terapéutica la terapia incisional endoscópica, que permite eliminar el anillo estenótico, con un buen perfil de eficacia y seguridad. Presentamos el caso de un paciente con estenosis esofágica postquirúrgica refractaria a tratamiento con dilatación y prótesis endoscópica, tratado finalmente de forma satisfactoria con terapia incisional
ABSTRACT
Esophageal anastomotic strictures are a non-negligible cause of benign strictures and secondary dysphagia. It should be noted that these are often complex strictures, with a large ischemic-fibrotic component. Thus, they are difficult to treat due to their recurrence, despite endoscopic dilation. Endoscopic incisional therapy appears as a therapeutic alternative in this type of patient, which allows the elimination of the stenotic ring, with a good efficacy and safety profile. We present the case of a patient with postoperative esophageal strictures refractory to treatment with dilation and endoscopic prosthesis, who was finally satisfactorily treated with incisional therapy
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Deglutition Disorders
/
Esophagoscopy
/
Esophageal Stenosis
Limits:
Aged
/
Humans
/
Male
Language:
Spanish
Journal:
Rev. esp. enferm. dig
Year:
2019
Document type:
Article
Institution/Affiliation country:
Hospital de Poniente/España