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Japanese

Bougie Techniques for Upper Gastrointestinal Stenosis Miwako Arima 1 , Hideaki Arima 2 , Masahiro Tada 1 1Department of Gastroenterology, Saitama Cancer Center 2Arima Surgical-Gastrointestinal Clinic Keyword: 食道狭窄 , バルーン拡張術 , 硬性ブジー pp.617-622
Published Date 2006/4/24
DOI https://doi.org/10.11477/mf.1403100337
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 The purpose of dilation to deal with strictures of the upper digestive tract is mainly to make oral intake possible. A PET balloon dilator is popularly used. Hasty and excess dilation induces perforation, but it is also necessary to use other devices properly. In case of reflux esophagitis, after medication for reflux, step dilations are performed. Membranous stricture is mostly seen in cases of esophago-jejunostomy, and sufficient dilation is able to be performed with a single dilation. In case of postoperative esophageal anastomotic stricture, sometimes it is difficult to dilate due to minor leakage. Ante-thoracic anastomosis causes strong bending and a Celestin dilator is also useful. After EMR, delay in starting dilation causes a hard scarred stricture. It is necessary to dilate periodically from as early a time as possible. Achalasia is a progressive disease, so balloon dilation is performed for even mild cases.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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