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Benign esophageal strictures: behaviour, pattern and response to dilatation.
Sajida Qureshi1, Shahriyar Ghazanfar, Aftab Leghari
1Department of Surgery, Dow University of Health Sciences (DUHS), Civil Hospital Karachi.
JPMA. the Journal of the Pakistan Medical Association
|August 24, 2010
Summary
Endoscopic dilatation effectively treats benign esophageal strictures. While corrosive strictures show higher complication rates, recurrence decreases over time with this safe procedure.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
- Digestive Diseases
Background:
- Benign esophageal strictures cause dysphagia.
- Various etiologies include corrosive, peptic, and extrinsic compression.
Purpose of the Study:
- To evaluate the safety and efficacy of endoscopic dilatation for benign esophageal strictures.
- To assess outcomes and complication rates.
Main Methods:
- Prospective descriptive study of 27 patients with benign esophageal strictures.
- Esophageal dilatation performed using Savary Gilliard Dilators under fluoroscopic guidance.
- Follow-up assessed dysphagia improvement over a minimum of 6 months.
Main Results:
- Corrosive strictures (59.3%) were more common, often suicidal in intent.
- Corrosive strictures occurred higher in the esophagus and had lower initial dilation success (81.4%) vs. peptic strictures (100%).
- Higher recurrence rates and procedure-related perforations were observed in corrosive strictures, with 7.4% overall mortality.
Conclusions:
- Endoscopic dilatation is a safe and effective treatment for benign and corrosive esophageal strictures.
- Corrosive strictures present a higher risk of complications.
- Recurrence rates diminish over time for both peptic and corrosive strictures.
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