Electrocautery therapy combined with oral steroid administration for refractory corrosive esophageal stenosis prevents r
- PDF / 328,900 Bytes
- 5 Pages / 595.276 x 790.866 pts Page_size
- 52 Downloads / 199 Views
CASE REPORT
Electrocautery therapy combined with oral steroid administration for refractory corrosive esophageal stenosis prevents restenosis Kouichi Nonaka • Shinichi Ban • Masayasu Aikawa • Akira Yamasaki Ayako Okuda • Takeyasu Kounoe • Hideaki Naoe • Kouichi Sakurai • Mitsuo Miyazawa • Hiroto Kita • Yutaka Sasaki
•
Received: 7 January 2013 / Accepted: 30 March 2013 / Published online: 20 April 2013 Ó The Author(s) 2013. This article is published with open access at Springerlink.com
Abstract A 61-year-old female with refractory corrosive esophageal stenosis repeatedly underwent endoscopic balloon dilation at another hospital; however, no improvements were observed in the esophageal stenosis. Consequently, she had been on a liquid diet for the previous three years. She was admitted to our department for further treatment. A radial incision was made, by use of the SB knife Jr, for a pinhole-like stenosis in a short segment 39 cm from the incisor, and dilation was safely performed by use of a CRE balloon dilator. Subsequently, prednisolone was orally administered to prevent re-stenosis. This was followed by a favorable clinical course. Keywords
Esophageal stenosis Steroid Dilation
Introduction Refractory benign esophageal stenosis makes it difficult to consume meals, which markedly reduces a patient’s quality of life. Endoscopic balloon dilation (EBD) is commonly used for treatment of this condition. However, dilation can cause esophageal perforation in some patients, and sufficient dilation cannot be achieved for others with refractory stenosis, despite repeated EBDs. Moreover, patient management can be very difficult. In this study, to treat a patient with refractory corrosive esophageal stenosis safely and effectively, we used an endoscopic submucosal dissection (ESD) device, the SB knife Jr, combined with oral steroid therapy, which is reportedly useful for preventing restenosis after dilation for esophageal stenosis.
Case K. Nonaka (&) A. Yamasaki A. Okuda T. Kounoe H. Naoe K. Sakurai Y. Sasaki Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto 860-0856, Japan e-mail: [email protected] Y. Sasaki e-mail: [email protected] S. Ban Department of Pathology, Saiseikai Kawaguchi General Hospital, Kawaguchi 332-8558, Japan M. Aikawa M. Miyazawa Department of Surgery, Saitama Medical University International Medical Center, Hidaka 350-1298, Japan H. Kita Department of Gastroenterology, Saitama Medical University International Medical Center, Hidaka 350-1298, Japan
123
Esophageal stenosis developed in a 61-year-old female approximately 4 years after she had attempted suicide by taking a sulfate. She had no history of underlying diseases including mental diseases. She attempted suicide during a domestic quarrel. Although the patient had frequently undergone balloon dilation at another hospital, no improvements were observed in her condition. The patient was referred to the Department of Surgery in our hospital, and underwent f
Data Loading...
