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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2002, Number 3

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An Med Asoc Med Hosp ABC 2002; 47 (3)

Intralesional steroid injection in the management of benign esophageal stenosis not resolved with conventional dilatation

Fournier MFJ, González ARA, Robles DI, Noble LA, Cedillo LI, Mora LG, López AME, Rodríguez VG, Farca BA

Language: Spanish
References: 14
Page: 142-145
PDF size: 48.08 Kb.


ABSTRACT

Objective: To demonstrate the value of the intralesional steroid injection in the endoscopic management of benign esophageal strictures, not resolved by conventional dilation. Material and Methods: In a prospective study, 15 patients with benign (endoscopic and histopathology) esophageal stricture, who have failed with conventional dilation (more than 4 dilations without relieve of dysphagia) were included. Dilation was performed with the conventional technique (Savary Gilliard boogies [3], endoscopic and fluoroscopic control) and the steroid (betametasone dipropionate 5.0 mg and betametasone disodic phosphate 2.0 mg) was injected intralesional. An endoscopic control was performed (7 days) with new dilation (if needed) and dysphagia was evaluated. The dilation index was calculated (number of dilations/time) with and without the intralesional steroid injection. The results were compared. Results: Mean age of the 15 patients (11 men, 4 women) was 62 years (21-85). Twelve (80%) had peptic stricture, two (13.3%) secondary to caustic ingestion and one (6.66%) at the site of a surgical anastomosis. The difference when comparing the dilation index was statistically significative in 13 patients (86.6%). Only two patients (13.3%) required surgical treatment. There were no complications. Conclusions: Intralesional steroid injection is a useful procedure as a therapeutic complement to the esophageal dilation in benign strictures not resolved with conventional dilation.


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