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Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

ANSELMI M, Mario; ORELLANA F, Gerardo; INNOCENTI C, Franco  y  SALGADO O, Julio. Peptic stricture of the esophagus: Long term outcome of conservative treatment. Rev. méd. Chile [online]. 2003, vol.131, n.10, pp.1111-1116. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872003001000002.

Endoscopic dilatation of esophageal strictures is a simple and safe procedure. Aim: To analyze the long term outcome of conservative treatment for esophageal peptic stricture in patients with high surgical risk. Patients and methods: Twenty consecutive patients, 13 male, whose mean age was 75.2 years, with a peptic stricture of the esophagus and high surgical risk were prospectively studied. All were subjected to endoscopic esophageal dilatation and treated with continuous medical antireflux therapy thereafter. Results: Only five patients complied with antireflux treatment on a regular basis. The remaining 15 were non compliant or abandoned it. A total of 56 dilatations were done (mean 2.8 per patient, range 1-6). No complications were observed after the procedure. With a mean follow up period of 49 months, the outcome of the conservative treatment was classified as excellent or good in all the cases. Eight patients (40%) died of causes unrelated to the treatment. Two patients had an organic foreing body impactation. This situation was solved endoscopically in both. Conclusion: In high risk patients, endoscopic dilatation, with or without regular antireflux medical treatment is a simple, safe and effective therapy in the management of peptic oesophagel stenosis (Rev Méd Chile 2003; 131: 1111-6).

Palabras clave : Endoscopy; digestive system; Esophageal stenosis; Gastroesophageal reflux.

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