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DOI: 10.1055/s-2002-25293
© Georg Thieme Verlag Stuttgart · New York
Endoscopic Treatment of Benign Anastomotic Esophageal Stenosis with Electrocautery
Publication History
30 April 2001
20 November 2001
Publication Date:
22 April 2002 (online)
![](https://www.thieme-connect.de/media/endoscopy/200205/lookinside/thumbnails/10.1055-s-2002-25293-1.jpg)
Background and Study Aims: Stricture of the esophagus following surgical resection is uncommon. Several methods have been described for treatment of this entity, but the therapeutic success may be impaired either by poor long-term results or by poor acceptance by patients. Even the high cost of the therapeutic management may represent a problem. We describe the use of electrocautery to treat benign anastomotic esophageal stenosis.
Patients and Methods: Six unselected consecutive patients (four men, two women; mean age 68.3, range 54 - 82) with stenosis following esophagojejunostomy were enrolled in this trial. Postoperative stenoses were shown endoscopically (four patients) or radiographically (two patients). We performed endoscopic dilation of the strictures using electrocautery.
Results: In all patients we obtained dilation of the strictures, without any immediate or delayed procedure-related complication. No recurrence of the stenosis was demonstrated during a mean 24-month follow-up (range 8 - 33 months).
Conclusions: This study showed that endoscopic electrocautery is a safe and effective treatment for benign anastomotic esophageal stenosis.
References
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A. Tursi, M.D.
L. Bonomo Hospital
Galleria Pisani, 4 · 70031 Andria (BA) · Italy
Fax: + 39-0883-290225 ·
Email: antotursi@tiscalinet.it