An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid
Bougie or balloon dilation is a good short-term treatment for caustic esophageal strictures, although recurrence after dilation occurs in approximately 30% of these cases. Therefore, long-term treatment options are required in some cases, and endoscopic incisional therapy has been used for patients...
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| Format: | Article |
| Language: | English |
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Korean Society of Gastrointestinal Endoscopy
2016-11-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2016-048.pdf |
| _version_ | 1827610433710718976 |
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| author | Woong Ki Lee Byung Sun Kim Min A Yang So Hee Yun Young Jae Lee Ji Woong Kim Jin Woong Cho |
| author_facet | Woong Ki Lee Byung Sun Kim Min A Yang So Hee Yun Young Jae Lee Ji Woong Kim Jin Woong Cho |
| author_sort | Woong Ki Lee |
| collection | DOAJ |
| description | Bougie or balloon dilation is a good short-term treatment for caustic esophageal strictures, although recurrence after dilation occurs in approximately 30% of these cases. Therefore, long-term treatment options are required in some cases, and endoscopic incisional therapy has been used for patients with an anastomotic stricture in the gastrointestinal tract. A 58-year-old woman presented with severe swallowing difficulty because of a caustic esophageal stricture, which was caused by accidental exposure to anhydrous acetic acid at infancy. She had undergone several previous bougie and balloon dilations but the stricture did not improve. We performed sequential treatment comprising incision with an insulated-tip knife, balloon dilation, and an oral steroid, which resulted in the patient’s symptoms markedly improving. Thus, we report this case of an intractable caustic esophageal stricture, which was successfully treated using combined endoscopic sequential treatment. |
| first_indexed | 2024-03-09T07:49:05Z |
| format | Article |
| id | doaj.art-dc7796643d4344ccbfcad023cbe57269 |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-09T07:49:05Z |
| publishDate | 2016-11-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-dc7796643d4344ccbfcad023cbe572692023-12-03T02:22:26ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432016-11-0149656056310.5946/ce.2016.0486903An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral SteroidWoong Ki Lee0Byung Sun Kim1Min A Yang2So Hee Yun3Young Jae Lee4Ji Woong Kim5Jin Woong Cho Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea Division of Gastroenterology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, KoreaBougie or balloon dilation is a good short-term treatment for caustic esophageal strictures, although recurrence after dilation occurs in approximately 30% of these cases. Therefore, long-term treatment options are required in some cases, and endoscopic incisional therapy has been used for patients with an anastomotic stricture in the gastrointestinal tract. A 58-year-old woman presented with severe swallowing difficulty because of a caustic esophageal stricture, which was caused by accidental exposure to anhydrous acetic acid at infancy. She had undergone several previous bougie and balloon dilations but the stricture did not improve. We performed sequential treatment comprising incision with an insulated-tip knife, balloon dilation, and an oral steroid, which resulted in the patient’s symptoms markedly improving. Thus, we report this case of an intractable caustic esophageal stricture, which was successfully treated using combined endoscopic sequential treatment.http://www.e-ce.org/upload/pdf/ce-2016-048.pdfEsophageal stenosisCausticsDeglutition disordersDilatation |
| spellingShingle | Woong Ki Lee Byung Sun Kim Min A Yang So Hee Yun Young Jae Lee Ji Woong Kim Jin Woong Cho An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid Clinical Endoscopy Esophageal stenosis Caustics Deglutition disorders Dilatation |
| title | An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid |
| title_full | An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid |
| title_fullStr | An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid |
| title_full_unstemmed | An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid |
| title_short | An Intractable Caustic Esophageal Stricture Successfully Managed with Sequential Treatment Comprising Incision with an Insulated-Tip Knife, Balloon Dilation, and an Oral Steroid |
| title_sort | intractable caustic esophageal stricture successfully managed with sequential treatment comprising incision with an insulated tip knife balloon dilation and an oral steroid |
| topic | Esophageal stenosis Caustics Deglutition disorders Dilatation |
| url | http://www.e-ce.org/upload/pdf/ce-2016-048.pdf |
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