Korean Journal of Gastrointestinal Endoscopy 1996;16(5): 715-723.
원저 : 식도 위장관 ; 양성 식도 협착에 대한 사바리 길리아드 확장술과 발룬 확장술의 비교 ( Original Articles : Esophagus , Stomach & Intestine ; A Comparison Between Savary - Gilliard and Balloon Dilatation in Benign Esophageal Stricture )
정현용, 이헌영, 김성걸, 김진희, 서광식, 김남재, 김석현, 이병석 (Hyun Yong Jeong, Heon Young Lee, Seong Gul Kim, Jin Hee Kim, Kwang Sik Seo, Nam Jae Kim, Seok Hyun Kim and Byoung Seok Lee)
Abstract
The balloon dilatation or Savary-Gilliard dilatation was performed in 59 patients with benign esophageal stricture in Chungnam National University Hospital from September 1990 to August 1995. We reviewed the effect and the safty of each therapeutic method and the results were as foillows: 1) The cause of stricture were corrosive stricture(28 cases, 49,4%), anastomotic stenosis after gastroesophageal surgery(26 cases, 44.1%), stricture after endoscopic variceal sclerotherapy(3 cases, 5.1%), esophageal web(1 case, 1.7%) or stricture complicated by reflux esophagitis(l case). 2) The overall cure rate of balloon dilatation was 50%(l2/24 cases) and that of Savary-Gilliard dilatation was 77.1%(27/35 cases). The Savary-Gilliard dilatation group had a better result than the balloon group. 3) The perforation after Savary-Gilliard dilatation occurred in 4 cases~(6.7%). One case was treated surgically and three cases wiere treated medically. But there was no fatal complication. 4) The overall cure rate of anastomotic stenosis was 84.6%(32/38 cases) and that of corrosive stricture was 46.4%(13/28 cases). 5) The cure rate of Savary-Gilliard dilatation in corrosive esophageal stricture was 64.7%(ll/17) and that of balloon dilatation was 18.1%(2/11). 6) According to site of stricture, the cure rate of dilatation was 84.2% (32/38) in thoracic esophagus, 42.8%(3/7) in cervical esophagus and 28,5%(4/14) in multiple or long segmented stricture. (Koreen J Gastrointest Endosc 16: 715~723, 1996) (continue...)