BOUGIENAGE FOR ESOPHAGEAL AND ESPHAGEAL ANASTOMOTIC STRICTURES

概要

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Bougienage is commonly used as the primary therapy for benign esophaseal stricture in USA. In Japan, however, this methed is not familiar. The purpose of this report is to introduce the bougienage therapy using Maloney mercury-filled tapered bougie (soft bougienage) and wire-guided metal dilator (metal bougienage) with our experience in 25 patients with esophageal and esophageal anastomotic stricture (benign stricture in 21 patients and malignant stricture in 4 patients). The patients with benign stricture were divided into three groups. Group I included 9 patients Who had a pin-hole like tight stricture and were required metal bougienage. Group II consisted of 9 patients whose stricture yielded to soft bougienage. Group III included 4 patients treated by soft bougienage after endoscopic incision with therapeutic failure in one patient who was successfully dilated by subsequent metal bougienage. All but one patient were remained to be asymptomatic during an average follow-up period of 11 months (range from 1 to 26 months). No complications were encountered. In patients with malignant stricture, bougienage therapy has satisfactory as palliative treament which can improve and maintain the condition of oral intake.
社団法人日本消化器内視鏡学会の論文