Estenosis péptica del esófago: resultados alejados del tratamiento conservador

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 year...

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Autores principales: Anselmi M,Mario, Orellana F,Gerardo, Innocenti C,Franco, Salgado O,Julio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002
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spelling oai:scielo:S0034-988720030010000022004-12-07Estenosis péptica del esófago: resultados alejados del tratamiento conservadorAnselmi M,MarioOrellana F,GerardoInnocenti C,FrancoSalgado O,Julio Endoscopy digestive system Esophageal stenosis Gastroesophageal reflux 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).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.10 20032003-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002es10.4067/S0034-98872003001000002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Endoscopy
digestive system
Esophageal stenosis
Gastroesophageal reflux
spellingShingle Endoscopy
digestive system
Esophageal stenosis
Gastroesophageal reflux
Anselmi M,Mario
Orellana F,Gerardo
Innocenti C,Franco
Salgado O,Julio
Estenosis péptica del esófago: resultados alejados del tratamiento conservador
description 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).
author Anselmi M,Mario
Orellana F,Gerardo
Innocenti C,Franco
Salgado O,Julio
author_facet Anselmi M,Mario
Orellana F,Gerardo
Innocenti C,Franco
Salgado O,Julio
author_sort Anselmi M,Mario
title Estenosis péptica del esófago: resultados alejados del tratamiento conservador
title_short Estenosis péptica del esófago: resultados alejados del tratamiento conservador
title_full Estenosis péptica del esófago: resultados alejados del tratamiento conservador
title_fullStr Estenosis péptica del esófago: resultados alejados del tratamiento conservador
title_full_unstemmed Estenosis péptica del esófago: resultados alejados del tratamiento conservador
title_sort estenosis péptica del esófago: resultados alejados del tratamiento conservador
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002
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AT orellanafgerardo estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador
AT innocenticfranco estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador
AT salgadoojulio estenosispepticadelesofagoresultadosalejadosdeltratamientoconservador
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