Ikram Ullah Khan, Khalid Hameed, Javed Iqbal Farooqi, Sadiq Shah.
Esophageal Stricture Dilatation with Bougienage without Fluoroscopy.
J Coll Physicians Surg Pak Jan ;11(6):360-2.

Objective: Endoscopic dilatation is considered as the best treatment for most cases of benign esophageal stricture. In most centres it is performed under fluoroscopy specially those done with bougienage. We report our past experience of 75 patients treated by dilatation without the aid of fluoroscopy and comparison of its efficacy among patients with strictures from different causes. Design : A descriptive study describing findings on oesophascopy for patients coming with dysphagia. Place and Duration of Study: The study was carried out at the Department of Gastroenterology, PGMI, Peshawar from 1994 to 1999. Subjects and Methods: We performed dilatation in 75 patients (50 male, 25 female) with pathologies ranging from reflux stricture, malignant stricture, corrosive stricture and achalasia respectively. Treatment was considered adequate if the esophageal lumen could be dilated upto the 58 Fr. Results: Etiology of esophageal stricture found was reflux stricture (40), malignant stricture (18), achalasia (8), systemic sclerosis (04), corrosive stricture (04) and dysphagia with no intrinsic pathology (01). Complications like massive bleed, rupture and perforations were not recorded. Conclusion: Endoscopic dilatation without the aid of fluoroscopy was safe and effective in relieving dysphagia caused by different pathologies although repeated sessions were necessary because of stricture recurrence. Our follow-up during the period of eight years showed that all the subjects, except those with malignant stricture, were symptom-free and doing well.

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