Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study
Corrosive injuries (CI) become medical problems related complications include esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding tec...
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| Format: | Article |
| Language: | English |
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Interna Publishing
2024-01-01
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| Series: | Acta Medica Indonesiana |
| Subjects: | |
| Online Access: | https://actamedindones.org/index.php/ijim/article/view/2457 |
| _version_ | 1827299283810910208 |
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| author | Rusdiyana Ekawati Nurike Setyari Mudjari Arianti Arianti Annisa Zahra Mufida Budi Widodo Titong Sugihartono Herry Purbayu |
| author_facet | Rusdiyana Ekawati Nurike Setyari Mudjari Arianti Arianti Annisa Zahra Mufida Budi Widodo Titong Sugihartono Herry Purbayu |
| author_sort | Rusdiyana Ekawati |
| collection | DOAJ |
| description | Corrosive injuries (CI) become medical problems related complications include esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding technical failure. Describe clinical outcomes of ED ED-related CI including successful, refractory, recurrent, and complications-related procedures. Case series study of esophageal and/or pyloric stricture patients after CI who underwent dilatation at Soetomo General Hospital (July 2018 – July 2022). One – biweekly ED using Through The Scope (TTS) balloon or Savary Bougie dilator. The target diameter is 14mm. Fifteen patients with stricture-related CI. Eleven patients underwent ED with a total of 73 procedures. Mean age 31,45 years, predominantly male patients (6), suicide attempt (7), acid agent (9), located at esophagus (3), pylorus (3), or both (5). Number of esophageal dilatation to achieve the target of 14 mm was 1-2 and 2-15 procedures for simple and complex stricture. Five esophageal strictures were successfully dilated but 2 patients were recurrent and 3 cases were refractory to ED. Pyloric dilatation resulted in a lower success rate. Recurrent and refractory cases were 5 and 3 patients respectively. ED with ultrathin endoscope method is useful for traversing guidewire during ED. Ongoing inflammation and fibrosis were linked to recurrent and refractory stricture. |
| first_indexed | 2024-04-24T15:30:13Z |
| format | Article |
| id | doaj.art-aec64bfe919a4d2092a6d62722d57ae1 |
| institution | Directory Open Access Journal |
| issn | 0125-9326 2338-2732 |
| language | English |
| last_indexed | 2024-04-24T15:30:13Z |
| publishDate | 2024-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj.art-aec64bfe919a4d2092a6d62722d57ae12024-04-02T04:30:38ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322024-01-01561651Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series StudyRusdiyana Ekawati0Nurike Setyari Mudjari1Arianti Arianti2Annisa Zahra Mufida3Budi Widodo4Titong Sugihartono5Herry Purbayu61. Kanjuruhan Hospital, Kepanjen, Malang, Indonesia. 2. Resident at Division of Gastro-Enterohepatology, Department of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.1. Resident at Division of Gastro-Enterohepatology, Department of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia. 2. Kanjuruhan Hospital, Kepanjen, Malang, Indonesia.1. Soedono Hospital, Madiun, East Java, Indonesia 2. Resident at Division of Gastro-Enterohepatology, Department of Internal Medicine, Faculty of Medicine Universitas Airlangga, Surabaya, Indonesia.1. Division of Gastro-Enterohepatology, Department of Internal Medicine – Faculty of Medicine, Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, Indonesia. 2. Universitas Airlangga Hospital, Surabaya, Indonesia.Universitas Airlangga Hospital, Surabaya, IndonesiaDivision of Gastro-Enterohepatology, Department of Internal Medicine – Faculty of Medicine, Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, IndonesiaDivision of Gastro-Enterohepatology, Department of Internal Medicine – Faculty of Medicine, Universitas Airlangga - Dr. Soetomo Hospital, Surabaya, IndonesiaCorrosive injuries (CI) become medical problems related complications include esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding technical failure. Describe clinical outcomes of ED ED-related CI including successful, refractory, recurrent, and complications-related procedures. Case series study of esophageal and/or pyloric stricture patients after CI who underwent dilatation at Soetomo General Hospital (July 2018 – July 2022). One – biweekly ED using Through The Scope (TTS) balloon or Savary Bougie dilator. The target diameter is 14mm. Fifteen patients with stricture-related CI. Eleven patients underwent ED with a total of 73 procedures. Mean age 31,45 years, predominantly male patients (6), suicide attempt (7), acid agent (9), located at esophagus (3), pylorus (3), or both (5). Number of esophageal dilatation to achieve the target of 14 mm was 1-2 and 2-15 procedures for simple and complex stricture. Five esophageal strictures were successfully dilated but 2 patients were recurrent and 3 cases were refractory to ED. Pyloric dilatation resulted in a lower success rate. Recurrent and refractory cases were 5 and 3 patients respectively. ED with ultrathin endoscope method is useful for traversing guidewire during ED. Ongoing inflammation and fibrosis were linked to recurrent and refractory stricture.https://actamedindones.org/index.php/ijim/article/view/2457corrosive injurydilatationesophagealpyloric stricture |
| spellingShingle | Rusdiyana Ekawati Nurike Setyari Mudjari Arianti Arianti Annisa Zahra Mufida Budi Widodo Titong Sugihartono Herry Purbayu Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study Acta Medica Indonesiana corrosive injury dilatation esophageal pyloric stricture |
| title | Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study |
| title_full | Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study |
| title_fullStr | Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study |
| title_full_unstemmed | Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study |
| title_short | Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study |
| title_sort | endoscopic dilatation with ultrathin endoscope assisted method for esophageal and pyloric stricture related corrosive injury 4 years case series study |
| topic | corrosive injury dilatation esophageal pyloric stricture |
| url | https://actamedindones.org/index.php/ijim/article/view/2457 |
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