Recurrent benign esophageal strictures treated with self-bougienage: report of seven cases

Mayo Clin Proc. 1990 Jun;65(6):799-803. doi: 10.1016/s0025-6196(12)62569-5.

Abstract

Self-bougienage has rarely been used in the treatment of recurrent benign esophageal strictures. Nonetheless, it has proved to be a useful alternative technique in carefully selected patients. Herein we report our experience with seven symptomatic patients who were treated with self-bougienage for recurrent benign esophageal strictures. These seven patients (six men and one woman; mean age, 66.9 years) had had dysphagia for a mean of 37.9 months and had undergone a mean of 6.7 endoscopic dilations before their involvement in a self-bougienage program. During a mean follow-up period of 36.3 months (range, 10 to 78 months) after initiation of self-bougienage treatment, all seven patients became asymptomatic and remained free of dysphagia. No complications occurred in any patient, and no further endoscopic dilations were necessary. Our results suggest that self-bougienage can provide long-term symptomatic relief in selected patients with recurrent benign esophageal strictures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Deglutition Disorders / etiology
  • Dilatation / methods*
  • Esophageal Stenosis / complications
  • Esophageal Stenosis / therapy*
  • Esophagoscopy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Recurrence
  • Retrospective Studies
  • Self Care*