Document Detail


Peptic esophageal stricture: a report from Argentina.
MedLine Citation:
PMID:  15209743     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Peptic esophageal stricture (PES) is a major complication of gastroesophageal reflux disease. The aims of this paper were to determine the characteristics of these patients with regard to demography, morphology, functional status and results of therapy. The charts of the patients treated at our service who underwent esophageal dilatation for PES between 1971 and 1998 were reviewed. Statistical analyses were performed by means of chi2, Mann-Whitney and Student's t-tests. One hundred and thirty-five patients with PES were dilated by various means. The mean age was 61.1 +/- 16.3 years, the ratio of men to women was 2.75/1 and mean duration of symptoms was 44.4 +/- 74.6 months. Their symptoms were dysphagia in 100%, pyrosis in 70%, and regurgitation in 40% of the cases. There was an average weight loss of 3.3 +/- 6 kg. The upper gastro-intestinal series showed pre- and post-dilatation diameters at the stricture of 8 +/- 2.5 mm and 15.9 +/- 1.2 mm, respectively. The stricture was located at the lower third of the esophagus in 97% and at the middle third in 3% of the cases. We found PES endoscopically in all instances, with different degrees of erosions in 64%, ulcers in 20% and Barrett's esophagus in 16% of the cases. The biopsy samples showed intestinal metaplasia in 16% and esophagitis in 75.5%, being normal in the remaining 8.5%. Brush cytology was negative for malignancy in 100% of the cases. Esophageal manometry showed peristaltic wave amplitude of 40 +/- 3 mmHg and presence of peristaltic waves of 62 +/- 38.6%. LES pressure was 8.6 +/- 6.3 mmHg (NV 24.2 +/- 6.3 mmHg). Measurement of pH showed 15% of patients had pH < 4. Patients needed a mean of 4.7 +/- 1.6 dilations per case, with successful results in 87.2% of cases. The perforation rate was 0.1% of the total number of procedures and 0.7%, of patients. The mortality rate was 0.7% (one case). We observed PES relapse in 32% of the cases. There was no correlation between relapse, age, duration of the stenosis or pharmacological treatment with H2 blockers or proton pump inhibitors. We conclude that in Argentina, demography, morphology, functional status and results of dilatation of PES patients are similar to those reported in the Western world, with the exception of the different behavior seen after treatment with H2 blockers or proton pump inhibitors.
Authors:
Sergio Angel Mazzadi; Alfredo Omar García; Graciela Beatriz Salis; Juan Carlos Chiocca
Related Documents :
16925273 - Is roux-en-y gastric bypass safe after previous antireflux surgery? technical feasibili...
2746763 - Coexisting ureteropelvic junction obstruction and vesicoureteral reflux: diagnostic and...
12450723 - The effect of veneering and heat treatment on the flexural strength of empress 2 ceramics.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus / I.S.D.E     Volume:  17     ISSN:  1120-8694     ISO Abbreviation:  Dis. Esophagus     Publication Date:  2004  
Date Detail:
Created Date:  2004-06-22     Completed Date:  2004-09-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8809160     Medline TA:  Dis Esophagus     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  63-6     Citation Subset:  IM    
Copyright Information:
Copyright 2004 ISDE
Affiliation:
Gastroenterology Service, Hospital Profesor Alejandro Posadas, Palomar City, Argentina.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Aged
Argentina / epidemiology
Balloon Dilatation / methods
Cohort Studies
Esophageal Stenosis / diagnosis*,  epidemiology*,  etiology,  therapy
Esophagoscopy
Female
Gastroesophageal Reflux / complications*
Humans
Incidence
Male
Manometry
Middle Aged
Prognosis
Retrospective Studies
Severity of Illness Index
Sex Distribution
Statistics, Nonparametric
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Correlation of esophageal pH and motor abnormalities with endoscopic severity of reflux esophagitis.
Next Document:  Chronology of the Barrett's metaplasia-dysplasia-carcinoma sequence.