Endoscopic Treatment of Postoperative Esophageal Anastomotic Strictures: A Single Center Experience

Authors : Muhammed Bahaddin DURAK, Cem ŞİMŞEK, Zeki Mesut Yalın KILIÇ

Pages : 603-608

Doi:10.16899/jcm.1241326

View : 62 | Download : 95

Publication Date : 2023-07-31

Article Type : Research Paper

Abstract :Background To evaluate the analysis, treatment methods and results of endoscopic treatments of esophagojejunostomy insert ignore into journalissuearticles values(EJ); and esophagogastric insert ignore into journalissuearticles values(EG); anastomotic strictures. Methods: Data from patients treated between 2009 and 2019 was collected and analyzed. The primary endpoint was defined as the absence of dysphagia for at least 6 months after the final endoscopic treatment session. The improvement in dysphagia scores at 1 and 6 months was accepted as the secondary endpoint. Results Of 18 patients insert ignore into journalissuearticles values(10 male);, there were 11 patients with EG anastomotic stricture and 7 patients with EJ anastomotic stricture. Only balloon or bougie dilatation was applied to 13 patients, while 5 patients received a full-covered metal stent insert ignore into journalissuearticles values(FCMS); in addition to balloon or bougie dilatation due to persistent dysphagia symptoms. The primary endpoint was reached in 10 of the 13 patients insert ignore into journalissuearticles values(76.9%); who received only balloon or bougie dilatation. The secondary endpoint was reached in 3 patients. The primary endpoint was reached in 4 of the 5 patients insert ignore into journalissuearticles values(80%); who received a FCMS in addition to balloon or bougie dilatation. 6 patients insert ignore into journalissuearticles values(33.3%); had a recurrence. Major complications occurred in 4 insert ignore into journalissuearticles values(22.2%); patients, including perforation in 2 and stent migration in 2 patients. Conclusion The study demonstrated that endoscopic treatment of esophageal anastomotic strictures is a reliable and effective treatment option with a high success rate. The use of FCMS, either as a primary treatment option or in the treatment of perforation as a complication of endoscopic treatment, showed good effectiveness in our study.
Keywords : Özofagojejunostomi, , özofagogastrik, , anastomoz darlığı, , tam kaplı metal stent