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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Gastroenterol
2018 ; 18
(1
): 68
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Recurrent esophageal stricture from previous caustic ingestion treated with
40-year self-dilation: case report and review of literature
#MMPMID29788901
Gambardella C
; Allaria A
; Siciliano G
; Mauriello C
; Patrone R
; Avenia N
; Polistena A
; Sanguinetti A
; Napolitano S
; Conzo G
BMC Gastroenterol
2018[May]; 18
(1
): 68
PMID29788901
show ga
BACKGROUND: Corrosive esophageal strictures are common. The severity of the
strictures depends on type, quantity, duration of contact and concentration of
the caustic substance ingested. Endoscopic balloon dilation and endoscopic
bougienage are a cornerstone in the management of the benign esophageal
strictures and are the most widely used treatments, but are expensive and
invasive procedures. CASE PRESENTATION: We report the case of an 82-year-old
patient with a corrosive esophageal stricture treated for over 40 years by means
of home self-bougienage. The procedure has been carried out for the longest lapse
of time described in literature, with an excellent control of symptoms. In the
case reported, after being carried out for more than 40 years, self-dilation
allowed good quality of life and symptoms management, ensuring an excellent
nutritional status. CONCLUSIONS: Following an adequate patient training,
self-dilatation can be a safe and effective option of treatment, avoiding
frequent expensive hospital admissions for endoscopic esophageal dilatation.