“…More than 80-90% of esophageal strictures can be treated successfully with endoscopic dilatation using Savary bougies or through-the-scope (TTS) balloons. The majority of these patients are managed with repeat dilatations, depending on their complexity [4,9]. The majority of these patients are managed with repeat dilatations, depending on their complexity [4,9].…”
Caustic, peptic, and complex strictures were associated with a greater need for subsequent dilatations. Time until subsequent dilatations was less in patients with dysphagia for liquids and in those with caustic, peptic, and complex strictures.
“…More than 80-90% of esophageal strictures can be treated successfully with endoscopic dilatation using Savary bougies or through-the-scope (TTS) balloons. The majority of these patients are managed with repeat dilatations, depending on their complexity [4,9]. The majority of these patients are managed with repeat dilatations, depending on their complexity [4,9].…”
Caustic, peptic, and complex strictures were associated with a greater need for subsequent dilatations. Time until subsequent dilatations was less in patients with dysphagia for liquids and in those with caustic, peptic, and complex strictures.
“…First, although relief of dysphagia was noted in all patients after dilation, radiographic studies to assess the change in ring diameter were not routinely performed. Therefore, we cannot exclude that symptomatic improvements overestimate the effect of dilation therapy on esophageal morphology [31]. Second, with the exception of the first follow-up examination, patients were not re-investigated at regular time intervals, but only at occurrence of symptoms requiring repeated therapy.…”
Single dilation of symptomatic Schatzki rings is a safe and effective therapy. However, more than half of the patients will need a second treatment. Recurrences are unrelated to initial morphological findings, age, or gender. Only the treatment with a large bougie diameter (≥52 F) showed a tendency for a longer time of remission.
“…However, even if combined with PPI, 1-year recurrence rates are high at 30%-40% [8][9][10][11]. Stricture does not respond to a single treatment of endoscopic dilatation in many cases, and several treatments are often required [12,13].…”
Esophageal stricture caused by refl ux esophagitis requiring subtotal esophagectomy: a case report Abstract Esophageal stricture is a complication of refl ux esophagitis. Esophageal stricture is generally treated conservatively, and esophagectomy is rarely performed. Herein, we report a 59-year-old man with esophageal stricture caused by refl ux esophagitis who did not respond to several sessions of endoscopic dilatations and then underwent subtotal esophagectomy. His postoperative course was uneventful, and he was discharged on the 24th postoperative day.
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