[Bouginage of cicatricial esophageal stenosis]

Of 40 patients admitted to the ENT clinic in 1984-1998 (age 18-77 years) with cicatrical esophagostenosis, 34 entered with acid or alkaline burn resulting in esophagostenosis of degree III or IV. Bouginage was a prevalent treatment. Bouginage of the lower third of the stenotic esophagus along 8-12 cm was made according to an original technique of orthograde double bouginage by two different bougies. The bouginage was successful in 8 patients with life-threatening cicatrical esophagostenosis in the lower third, with tubular stricture along two-three segments and obstruction of the degree III and IV.