Endoscopic Management of Benign Esophageal Strictures

被引：33

作者：

Ravich W.J. ^{[1
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机构：

[1] The Johns Hopkins University School of Medicine, Baltimore, MD

[2] 10751 Falls Road, Suite 401, Lutherville, 21093, MD

来源：

Current Gastroenterology Reports | 2017年 / 19卷 / 10期

关键词：

Balloon dilator; Bougie dilator; Endoscopic incisional therapy; Eosinophilic esophagitis; Esophageal A-ring; Esophageal dilation; Esophageal ring; Esophageal stenosis; Esophageal stent; Esophageal stricture; Esophageal web; Intralesional steroid injection; Mitomycin C; Radiation stricture;

D O I：

10.1007/s11894-017-0591-8

中图分类号：

学科分类号：

摘要：

Purpose of Review: This paper presents the author’s approach to esophageal dilation. It offers a tailored approach to the application of dilation to specific types of esophageal stenotic lesions. Recent Findings: In patients with inflammatory stricture, recent studies confirm the importance of treating the underlying inflammatory condition in order to decrease the rate of recurrence. The paper reviews some of the novel techniques that have been suggested for the treatment of refractory benign esophageal strictures, including incisional therapy, stenting, or the injection steroids or antifibrotic agents. Summary: The endoscopist who treats esophageal strictures must be familiar with the tools of the dilation and how they are best applied to specific types of stenotic lesions. If inflammation is present, effective management requires treatment of the inflammatory process in addition to mechanical dilation of the stenotic lesion. Controlled trials of novel approaches to treatment of refractory benign esophageal strictures are limited and will be necessary to determine efficacy. © 2017, Springer Science+Business Media, LLC.

引用

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