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dc.creatorAnselmi M,Mario
dc.creatorOrellana F,Gerardo
dc.creatorInnocenti C,Franco
dc.creatorSalgado O,Julio
dc.date2003-10-01
dc.date.accessioned2020-02-17T15:33:21Z
dc.date.available2020-02-17T15:33:21Z
dc.identifierhttps://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872003001000002
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/130716
dc.descriptionEndoscopic dilatation of esophageal strictures is a simple and safe procedure. Aim: To analyze the long term outcome of conservative treatment for esophageal peptic stricture in patients with high surgical risk. Patients and methods: Twenty consecutive patients, 13 male, whose mean age was 75.2 years, with a peptic stricture of the esophagus and high surgical risk were prospectively studied. All were subjected to endoscopic esophageal dilatation and treated with continuous medical antireflux therapy thereafter. Results: Only five patients complied with antireflux treatment on a regular basis. The remaining 15 were non compliant or abandoned it. A total of 56 dilatations were done (mean 2.8 per patient, range 1-6). No complications were observed after the procedure. With a mean follow up period of 49 months, the outcome of the conservative treatment was classified as excellent or good in all the cases. Eight patients (40%) died of causes unrelated to the treatment. Two patients had an organic foreing body impactation. This situation was solved endoscopically in both. Conclusion: In high risk patients, endoscopic dilatation, with or without regular antireflux medical treatment is a simple, safe and effective therapy in the management of peptic oesophagel stenosis (Rev Méd Chile 2003; 131: 1111-6).
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dc.languagees
dc.publisherSociedad Médica de Santiago
dc.relation10.4067/S0034-98872003001000002
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourceRevista médica de Chile v.131 n.10 2003
dc.subjectEndoscopy
dc.subjectdigestive system
dc.subjectEsophageal stenosis
dc.subjectGastroesophageal reflux
dc.titleEstenosis péptica del esófago: resultados alejados del tratamiento conservador


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