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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957

Abstract

ARANGO M, Lázaro;  and  CHAVARRO O, Oliver. A case of refractory anastomotic esophageal stenosis managed with a radial incision and endoscopic cutting. Rev Col Gastroenterol [online]. 2018, vol.33, n.2, pp.172-175. ISSN 0120-9957.  http://dx.doi.org/10.22516/25007440.257.

Esophageal stenoses very rarely occur after an esophagojejunal anastomosis, but when they do they can compromise patients’ quality of life and nutritional status and may require endoscopic management with balloon dilation or with plugs which entail risks. Nevertheless, there is a group of patients who do not improve after dilation, whose stenoses persist, and who therefore continue to be symptomatic. For a patient with a stenosis that is refractory to dilation, a radial incision and endoscopic cutting with an electric scalpel can be performed with good results. We present the case of a patient with a postoperative stenosis at the esophagojejunal anastomosis who was refractory to initial dilation, who required a radial incision cut with an endoscopic electric scalpel whose improvement led to a better quality of life.

Keywords : Endoscopy; dilatation; stenosis; radial incision.

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