Aggressive bougie dilatation and intralesional steroids is effective in refractory benign esophageal strictures secondary to corrosive ingestion

2015 ◽  
Vol 29 (8) ◽  
pp. 1027-1031 ◽  
Author(s):  
S. Nijhawan ◽  
H. P. Udawat ◽  
P. Nagar
Keyword(s):  
Esophageal Strictures ◽  
Refractory Benign Esophageal Strictures ◽  
Intralesional Steroids ◽  
Corrosive Ingestion

scholarly journals Development and validation of a model to determine risk of refractory benign esophageal strictures

2019 ◽  
Vol 7 (13) ◽  
pp. 1623-1633 ◽  
Author(s):  
Qing Lu ◽  
Tian-Tian Lei ◽  
Yi-Lan Wang ◽  
Hai-Lin Yan ◽  
Bo Lin ◽  
...  
Keyword(s):  
Esophageal Strictures ◽  
Development And Validation ◽  
Refractory Benign Esophageal Strictures

FA07.04: THE ROLE OF ENDOSCOPIC DILATION AND STENTS IN THE REFRACTORY BENIGN ESOPHAGEAL STRICTURES: A RETROSPECTIVE ANALYSIS

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 14-14
Author(s):  
Qing Lu ◽  
Tiantian Lei ◽  
Hailin Yan ◽  
Jinlin Yang ◽  
Hongsheng Ma
Keyword(s):  
Adverse Events ◽  
Endoscopic Therapy ◽  
Long Term Results ◽  
Secondary Outcome ◽  
Endoscopic Dilation ◽  
Growth Trend ◽  
Esophageal Strictures ◽  
Refractory Benign Esophageal Strictures

Abstract Background The outcomes of patients with refractory benign esophageal strictures (RBES) was unclear and lacking in relative researches on the clinical efficacy of dilation compared with stent placement. Our objective was to explore the role of endoscopic dilation and stents in the management of RBES. Methods This study including patients with RBES (recurrence of dysphagia despite endoscopic therapy more than 3 sessions) by dilation and stents between January 2009 and December 2017. Endoscopic therapy success was defined as: before the end of the follow-up, no need for endoscopic interventions for at least 6 months. The primary outcome was to assess clinical effectiveness and adverse events. Secondary outcome was to identify factors that predicted the dysphagia-free period (the time interval of two subsequent endoscopic interventions). Multivariate analysis was used to estimate the risk factors influencing the treatment success. To explore the trend of dysphagia-free period along with times used hierarchical linear models. Results 75 patients (54 male; median age, 59 years) with RBES, 39 (52%), 20 (26.7%), 3 (4%), 10(13.3%), and 3(4%) were post-surgical, post-ESD, achalasia of cardia, caustic and mixed etiology, respectively. The median times of endoscopic therapy was 5 times (range 3, 21). Self-expandable metal stents (SEMSs) were placed in 20 patients (26.7%), and the success rate of patients treated with dilation (70.9%, 39/55) was higher than with stents (35%, 7/20). Fifteen patients died during follow-up. Nineteen patients had adverse events after endoscopic therapy. In total, the mean dysphagia-free period was 3.4 months (95% CI, 2.5–4.3). The dysphagia-free period of patients treated with dilation was 3.7months (95% CI, 2.7–5), and with stents was 2.3 months (95% CI, 1.5–3). The dysphagia-free period has linear growth trend with times, increased by 12 days per endoscopic therapy. Conclusion The dysphagia-free period increased by 12 days per endoscopic therapy, so the endoscopic dilation and stents tended to be effective in patients with RBES. Before the end of follow-up, nearly half of patients required continuing endoscopic dilation and stents, therefore, the patients with RBES may have negative long-term results. Stents therapy tended to not reduce the times and frequency of dilation. Disclosure All authors have declared no conflicts of interest.

THE TREATMENT OF REFRACTORY BENIGN ESOPHAGEAL STRICTURES USING REMOVABLE SILICONE STENTS

2005 ◽  
Vol 41 (4) ◽  
pp. 503 ◽  
Author(s):  
Theodore H Stathos ◽  
Steven S Rothenberg ◽  
Aziz J Yazdi ◽  
Jose M Barrios ◽  
Sandra Kay
Keyword(s):  
Esophageal Strictures ◽  
Refractory Benign Esophageal Strictures

scholarly journals A comparison of the temporary placement of 3 different self-expanding stents for the treatment of refractory benign esophageal strictures: a prospective multicentre study

2012 ◽  
Vol 12 (1) ◽  
Author(s):  
Jorge Manuel Tavares Canena ◽  
Manuel José Antunes Liberato ◽  
Ricardo António Natário Rio-Tinto ◽  
Pedro Miguel Pinto-Marques ◽  
Carlos Manuel Menezes Romão ◽  
...  
Keyword(s):  
Multicentre Study ◽  
Prospective Multicentre Study ◽  
Esophageal Strictures ◽  
Refractory Benign Esophageal Strictures
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