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Endoscopic balloon dilation for post operative stricture of upper gastro intestinal tract



Endoscopic balloon dilation for post operative stricture of upper gastro intestinal tract



Gastroenterological Endoscopy 26(2): 213-223



Postoperative stricture of the upper gastrointestinal tract is one of the most difficult complications to be managed. Bougienage is useful as the primary therapy for benign esophageal strictures. But, reoperation is chosen for the patient with a gastric anastomotic stricture which can not be relieved by conservative treatment. A new method using an endoscope and balloon dilator based on the experience with 5 patients with a benign stricture of the upper gastrointestinal tract, is introduced. The patients in this trial were unable to take a liquid diet, even after a 2-3 wk postsurgical period. The location of the stricture was the gastrointestinal anastomosis after gastrectomy in 2 patients, the proximal small intestine after hemicolectomy in 2 patients and the pyloric ring of the stomach after papilloplasty in a patient. All patients were successfully dilated by the initial series of dilation, and remained asymptomatic during an average follow-up period of 7 mo. (range from 2-14 mo.). No complications were encountered. In a patient with a benign stricture who has been considered for reoperation, endoscopic balloon dilation should be attempted as a primary procedure.

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Accession: 005359117

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