Endoscopic Treatment for Esophageal Stomal Stricture

Masaichi Ohira, Michio Sowa, Takeshi Asai, Jae to Lee, Kazuhiko Yoshikawa, Hideki Nishiwaki, Masayoshi Nagayama, Kaoru Umeyama

The First Department of Surgery, Osaka City University Medical School

From 1983 to 1988,31 cases of esophageal stomal strictures which had been dilated endoscopically were studied retrospectively and were divided into two groups. One group (26 patients) became free of stenotic symptoms after a few treatments by bougienage and the other group (5 patients) required more than 10 bougienage treatments or relapsed soon after bougienage. In estimating the prognosis of the esophageal stomal stricture, it was useful to compare the two groups in regard to the presence and the degree of anastomotic leakage, the ratio of the short diameter to the long diameter of the stoma endoscopically 1 or 2 weeks after bougienage and the length of the stenosis determined radiologically before bougienage. It is important to try to prevent recurrence of the cancer in patients for whom treatment is difficult and another treatment should be considered for a patient whose stenosis is too long.

Key words
esophageal stomal stricture, endoscopic bougienage, balloon dilator

Reprint requests
Masaichi Ohira First Department of Surgery, Osaka City University Medical School
1-5-7, Asahi-machi, Abeno-ku, Osaka, 545 JAPAN

Accepted
July 10, 1990

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