Altaf Alam, Arshad Kamal Butt, Farzana Shafqat, Anwaar A Khan, Waqar H Shah, Kashif Malik, Shahzad Sarwar, Johar Amin, Aamina Hassan.
Endoscopic dilatation of Esophageal Strictures - An analysis of 544 patients.
Proceeding Shaikh Zayed Postgrad Med Inst Jan ;15(1):1-3.

Dilatation of esophageal strictures is a common procedure to treat esophageal narrowing and relieve dysphagia with relatively low complication rate of 1 % . This study is based on retrospective analysis of 544 patients who underwent endoscopic dilatation of esophageal .strictures in the department of Gastroenterology during 15 years from 1986 to September 2001. 1597dilatation procedures were performed in these 544 patients, 273 (50. l8%) were males and 271 (49.82%) were females. The most common etiology of strictures ivas peptic, 197 patients (36.27%), followed by malignant, 106 (19.48%), corrosive ingestion, 101 (18.56%), post sclerotherapy, 46 (8.46%), post surgical, 40 (7.35%), webs, 28 (5.15%), rings, 20 (3.68%), post radiation, 5 (0.92%), prolonged NG intubation, I (0.18%). Savary Gilliard dilators were used in 504 patients (92.64%), malloney in 37 (6.080%) and Eder Puestow in 3 (0.55%). Mean dilatation sessions were 2.34±5.75 per patient. Mean age was 45.90±21.74 (range 1 95 years). Successful outcome was seen in 526 patients (96.69%). While failure to dilate in 13 patient (2.38%). The only complication seen in our patients was perforation in 5 (0.91 %). In conclusion, peptic malignant and caustic strictures are the common type of .strictures seen in our study and that endoscopic dilatation is a safe and effective method of treatment for all types of strictures with a low complication rate.

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