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- Comparison of the efficacy and complications of endoscopic incisional therapy and balloon dilatation for benign esophageal strictures
- Eun Jeong Choi, Sam Ryong Jee, Sang Heon Lee, Ji Hyun Kim, Jun Sik Yoon, Jae Hyuk Heo, Seung Jung Yu, Hee Won Baek, Hong Sub Lee
- Kosin Med J. 2022;37(4):291-298. Published online November 16, 2022
- DOI: https://doi.org/10.7180/kmj.22.128
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Abstract
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- Background
Benign esophageal strictures are treated endoscopically, often with balloon dilatation (BD) or bougie dilators. However, recurrent esophageal strictures have been reported after BD, and severe complications sometimes occur. The aim of this study was to compare the efficacy and complications of endoscopic incisional therapy (EIT) and BD for benign esophageal strictures.
Methods
We retrospectively reviewed patients who underwent BD or EIT as primary treatment for benign esophageal strictures between July 2014 and June 2021. Technical success was defined as restoration of the lumen diameter with <30% residual stenosis. Clinical success was defined as no recurrence of dysphagia within 1 month after BD or EIT and an increase of 1 grade or more on the Functional Oral Intake Scale.
Results
Thirty patients with benign esophageal stricture were enrolled. There were 16 patients in the BD group and 14 patients in the EIT group. No significant differences in technical and clinical success rates were found between the two groups. Furthermore, no significant differences in the re-stricture rate were observed between the groups. There was one complication in the EIT group and three complications in the BD group. Three patients who underwent BD had re-stricture and underwent EIT thereafter, and we regrouped patients who underwent EIT at least once. The clinical success rate was significantly higher in patients regrouped to the EIT group than in patients who underwent BD only.
Conclusions
EIT is not inferior to BD as the primary treatment for benign esophageal strictures, especially for recurrent cases. -
Citations
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- Which endoscopic treatment is effective for the treatment of benign esophageal stricture: balloon or incision?
Kyoungwon Jung
Kosin Medical Journal.2022; 37(4): 261. CrossRef
- Which endoscopic treatment is effective for the treatment of benign esophageal stricture: balloon or incision?
- Characteristics of Clinical Features between Isolated Left Side Ischemic Colitis and Non-Isolated Left Side Ischemic Colitis
- Jae Joon Heo, Hyung Hun Kim, Jun Young Song, Seun Ja Park, Moo In Park, Won Moon
- Kosin Med J. 2013;28(2):99-106. Published online January 19, 2013
- DOI: https://doi.org/10.7180/kmj.2013.28.2.99
- 3,169 View
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Abstract
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Objectives Compared with all other patterns, isolated right colon ischemia has been found to be more associated with coronary artery disease and a poor prognosis. However, there has been no research on comparing isolated left side ischemic colitis (ILIC) and non-ILIC with vascular assessment. The aim of the present study was to evaluate the clinical and laboratory findings between these two different forms of ischemic colitis (IC).
Methods We retrospectively investigated differences in clinical features, course, and mesenteric vascular (superior mesenteric artery, SMA; inferior mesenteric artery, IMA) findings between ILIC and non-ILIC patients who were hospitalized at Kosin University Gospel Hospital from 2004 to 2010.
Results Our study population comprised 221 patients, all of whom met our entry criteria of biopsy-proven or -compatible IC. Of the 221 patients, 46 (20.8%) had non-ILIC. Congestive heart failure and hypercholesterolemia were more frequently observed in the non-ILIC group (
P = 0.003 andP = 0.020, respectively). SMA atherosclerosis and SMA stenosis were more frequently observed in the non-ILIC group (P = 0.006 andP = 0.001, respectively). Recovery periods were longer in the non-ILIC group (P = 0.039), and mortality was lower in the ILIC group (6.9% vs. 17.3%,P = 0.026).Conclusions ILIC has favorable outcomes compared with non-ILIC. Furthermore, non-ILIC showed a close relationship with SMA atherosclerosis and SMA stenosis, which should be investigated carefully in the clinical field.
- Fatal Intracranial Hemorrhage after Carotid Angioplasty and Stenting
- Kwang Soo Kim, Gyoo Sik Jung
- Kosin Med J. 2010;25(2):177-182. Published online December 31, 2010
- 665 View
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- Result of Using Dynamic Interspinous Stabilizer Group and Non-using Group in Spinal Stenosis
- Jae Do Kim, Jae Ho Jang
- Kosin Med J. 2009;24(1):102-105. Published online June 30, 2009
- 687 View
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