Estenosis péptica del esófago: resultados alejados del tratamiento conservador / Peptic stricture of the esophagus: long term outcome of conservative treatment
Rev. méd. Chile
; 131(10): 1111-1116, oct. 2003.
Article
em Es
| LILACS
| ID: lil-355987
Biblioteca responsável:
CL12.1
RESUMO
BACKGROUND:
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 ANDMETHODS:
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 per cent) 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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
LILACS
Assunto principal:
Esofagite Péptica
/
Refluxo Gastroesofágico
/
Esofagoscopia
/
Estenose Esofágica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Chile
País de publicação:
Chile