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Endoscopy 2014; 46(09): 795-797
DOI: 10.1055/s-0034-1377304
Case series
© Georg Thieme Verlag KG Stuttgart · New York

Long-term follow-up after dilation in symptomatic esophageal intramural pseudodiverticulosis: an observational study in 22 cases

Matthias Bechtler
1   Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany
,
Heiko Vollmer
2   Medizinische Klinik II, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany
,
Stephan Vetter
1   Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany
,
Erik-Sebastian Fuchs
1   Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany
,
Uwe Weickert
2   Medizinische Klinik II, SLK-Kliniken Heilbronn GmbH, Heilbronn, Germany
,
Ralf Jakobs
1   Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany
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Publikationsverlauf

submitted 19. Dezember 2013

accepted after revision 07. Mai 2014

Publikationsdatum:
30. Juni 2014 (online)

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Endoscopic bougienage seems to be the most effective therapy for dysphagia in esophageal intramural pseudodiverticulosis (EIPD), but nothing is known about the long-term success of this treatment option. This report presents long-term results for 21 of 22 patients with EIPD who were treated with bougienage. A total of 103 sessions of bougienage up to a diameter of 18 mm were performed, without major complications and with 100 % clinical success. During follow-up, symptom recurrence with further bougienage occurred in 12 /21 patients (57 %), who had variable symptom-free intervals (range 1.5 – 96 months). Symptom recurrence was associated with concomitant reflux esophagitis. Although this series demonstrates that bougienage is an effective method for relieving dysphagia in EIPD, the long-term effectiveness is limited.

 

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