Ballondilatation von benignen Ösophagusstenosen

Abstract

Benign stenoses of the oesophagus have been conventionally treated by endoscopic bougienage and were operated on in case of failure. Now that balloon catheters with large balloon diameters are available, interventional radiological dilatation of enteric strictures can be easily performed. In case of eccentric high-grade stenosis with or without blind loop, stenosis is often easier to manage and associated with less risk with an angiographic guide wire and catheter than by endoscopy. 53.3% of the patients were referred to balloon dilatation after failed endoscopic bougienage. The indications for balloon dilatation were anastomotic stenosis (66.2%), peptic stenosis (16.9%), achalasia (7%), pylorospasm (5.6%) and stenosis due to pemphigus vulgaris, acid ingestion and (in one case) a Schatzki ring. The complication rate was low at 1%. The experience collected with 297 dilatations in 71 patients with benign oesophageal stenosis, is reported.

Endoskopische therapie benigner anastomosenstenosen im kolon- und rektumbereich durch elektroinzision und ballondilatation

“…Jedoch fiihren longitudinale Scherkr/ifte zur st/irkeren Traumatisierung der Darmwand als radi/ire Dehnungskr/ifte, wie sie bei der Ballondilatation auf den Darm ausgefibt werden [11].…”