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Electrocautery therapy combined with oral steroid administration for refractory corrosive esophageal stenosis prevents restenosis
Authors:Kouichi Nonaka  Shinichi Ban  Masayasu Aikawa  Akira Yamasaki  Ayako Okuda  Takeyasu Kounoe  Hideaki Naoe  Kouichi Sakurai  Mitsuo Miyazawa  Hiroto Kita  Yutaka Sasaki
Affiliation:1. Department of Gastroenterology and Hepatology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, 860-0856, Japan
2. Department of Pathology, Saiseikai Kawaguchi General Hospital, Kawaguchi, 332-8558, Japan
3. Department of Surgery, Saitama Medical University International Medical Center, Hidaka, 350-1298, Japan
4. Department of Gastroenterology, Saitama Medical University International Medical Center, Hidaka, 350-1298, Japan
Abstract:
A 61-year-old female with refractory corrosive esophageal stenosis repeatedly underwent endoscopic balloon dilation at another hospital; however, no improvements were observed in the esophageal stenosis. Consequently, she had been on a liquid diet for the previous three years. She was admitted to our department for further treatment. A radial incision was made, by use of the SB knife Jr, for a pinhole-like stenosis in a short segment 39 cm from the incisor, and dilation was safely performed by use of a CRE balloon dilator. Subsequently, prednisolone was orally administered to prevent re-stenosis. This was followed by a favorable clinical course.
Keywords:
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