Yıl: 2020 Cilt: 9 Sayı: 1 Sayfa Aralığı: 6 - 9 Metin Dili: İngilizce İndeks Tarihi: 27-10-2020

A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy

Öz:
Esophagojejunal anastomotic stricture is not anuncommon situation and minimal invasive procedurescan easily save patients from big surgical operations.Herein, we present a 63- year-old patient withpostoperative benign esophagojejunal stricture whowas managed with a new endoscopic technique. Weperformed four to five radial incisions parallel to thelongitude of the esophagus with sphincterotomy andthen dilated the esophagus by 25 mm diameterendoscopic balloon. This endoscopic techniqueshowed that sphincterotomic incisional treatment iseasy to perform, well tolerated, and safe. Thistechnique may be useful and an effective alternativeprocedure in patients with esophagojejunalanastomotic strictures who are not suitable for balloondilation and stent placement or denying surgery.
Anahtar Kelime:

Postoperatif Özofagojejunal Darlık Tedavisinde Yeni Bir Teknik: Sfinkterotomi ile Endoskopik İnsizyon ve Balon Dilatasyonu

Öz:
Özofagojejunal anastomoz darlıkları postoperatif süreçte karşılaşılabilen ve genellikle minimal invaziv prosedürler ile tedavi edilen bir komplikasyondur. Bu yazıda, postoperatif benign özofagojejunal darlığı olan ve yeni bir endoskopik teknik ile tedavi edilen 63 yaşındaki hasta tanıtılmıştır. Sfinkterotomi ile özofagusta darlık olan alana paralel olarak 4-5 radyal insizyon yapılmış ve 25 mm çaplı endoskopik balon ile dilate edilmiştir. Bu olguyu sunma nedenimiz, sfinkterotomi ile insizyonel tedavinin kolay, iyi tolere edilebilen ve güvenli bir tedavi şekli olduğunu göstererek, bu tedavi şeklini desteklemektedir. Bu yeni teknik, balon dilatasyon ve stent yerleştirmeye uygun olmayan veya ameliyatı reddeden hastalar için faydalı ve etkili bir alternatif prosedür olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
  • 1. Smith JK, et al. National outcomes after gastric resection for neoplasm. Arch Surg. 2007; 142:387-93.
  • 2. Zuiki T, et al. Stenosis after use of the double-stapling technique for reconstruction after laparoscopyassisted total gastrectomy. Surg Endosc. 2013;27(10):3683-9.
  • 3. Kim CG, et al. Effective diameter of balloon dilation for benign esophagojejunal anastomotic stricture after total gastrectomy. Surg Endosc. 2009;23(8):1775-80.
  • 4. Lee TH, et al. Primary incisional therapy with a modified method for patients with benign anastomotic esophageal stricture. Gastrointest Endosc. 2009;69(6):1029-33.
  • 5. Chiu YC, et al. Factors influencing clinical applications of endoscopic balloon dilation for benign esophageal strictures. Endoscopy. 2004;36(7):595-600.
APA kekilli m, Tanoglu A, Duzenli T, Öcal S (2020). A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. , 6 - 9.
Chicago kekilli murat,Tanoglu Alpaslan,Duzenli Tolga,Öcal Serkan A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. (2020): 6 - 9.
MLA kekilli murat,Tanoglu Alpaslan,Duzenli Tolga,Öcal Serkan A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. , 2020, ss.6 - 9.
AMA kekilli m,Tanoglu A,Duzenli T,Öcal S A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. . 2020; 6 - 9.
Vancouver kekilli m,Tanoglu A,Duzenli T,Öcal S A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. . 2020; 6 - 9.
IEEE kekilli m,Tanoglu A,Duzenli T,Öcal S "A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy." , ss.6 - 9, 2020.
ISNAD kekilli, murat vd. "A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy". (2020), 6-9.
APA kekilli m, Tanoglu A, Duzenli T, Öcal S (2020). A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. Causapedia, 9(1), 6 - 9.
Chicago kekilli murat,Tanoglu Alpaslan,Duzenli Tolga,Öcal Serkan A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. Causapedia 9, no.1 (2020): 6 - 9.
MLA kekilli murat,Tanoglu Alpaslan,Duzenli Tolga,Öcal Serkan A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. Causapedia, vol.9, no.1, 2020, ss.6 - 9.
AMA kekilli m,Tanoglu A,Duzenli T,Öcal S A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. Causapedia. 2020; 9(1): 6 - 9.
Vancouver kekilli m,Tanoglu A,Duzenli T,Öcal S A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy. Causapedia. 2020; 9(1): 6 - 9.
IEEE kekilli m,Tanoglu A,Duzenli T,Öcal S "A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy." Causapedia, 9, ss.6 - 9, 2020.
ISNAD kekilli, murat vd. "A New Technique for the Management of Postoperative Esophagojejunal Stricture: Balloon Dilation after Endoscopic Incision with Sphincterotomy". Causapedia 9/1 (2020), 6-9.