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Long-term follow-up after dilation in symptomatic esophageal intramural pseudodiverticulosis: an observational study
Matthias Bechtler1, Heiko Vollmer2, Stephan Vetter1
1Medizinische Klinik C, Klinikum Ludwigshafen, Ludwigshafen, Germany.
Abstract:
Endoscopic bougienage seems to be the most effective therapy for dysphagia in esophageal intramural pseudodiverticulosis (EIPD), but nothing is known about the long-term success of this treatment option. This report presents long-term results for 21 of 22 patients with EIPD who were treated with bougienage. A total of 103 sessions of bougienage up to a diameter of 18 mm were performed, without major complications and with 100 % clinical success. During follow-up, symptom recurrence with further bougienage occurred in 12 /21 patients (57 %), who had variable symptom-free intervals (range 1.5 - 96 months). Symptom recurrence was associated with concomitant reflux esophagitis. Although this series demonstrates that bougienage is an effective method for relieving dysphagia in EIPD, the long-term effectiveness is limited.
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