Khaled Mohamed El-Asmar1. 1. Pediatric Surgery Department, Ain Shams University, Cairo, Egypt. khaled80@hotmail.com
Abstract
PURPOSE: The first line of management of benign esophageal stricture is endoscopic dilatation; however, multiple sessions are usually indicated especially in resistant cases. Topical Mitomycin C (MCC) application is a new adjuvant treatment in the management of esophageal stricture with promising results in different case series. Several techniques have been reported for application; nevertheless, the ideal technique has not been described yet. MATERIAL AND METHODS: In this series we have devised a new technique using both the flexible and the rigid endoscope and a specially designed Nelaton catheter. RESULTS: This technique was applied in 38 sessions for 16 caustic esophageal strictures with technical success in all cases. No procedure-related complications were observed in this series. CONCLUSION: This novel technique is feasible and effective and can be considered as standard for topical MMC application on esophageal stricture.
PURPOSE: The first line of management of benign esophageal stricture is endoscopic dilatation; however, multiple sessions are usually indicated especially in resistant cases. Topical Mitomycin C (MCC) application is a new adjuvant treatment in the management of esophageal stricture with promising results in different case series. Several techniques have been reported for application; nevertheless, the ideal technique has not been described yet. MATERIAL AND METHODS: In this series we have devised a new technique using both the flexible and the rigid endoscope and a specially designed Nelaton catheter. RESULTS: This technique was applied in 38 sessions for 16 caustic esophageal strictures with technical success in all cases. No procedure-related complications were observed in this series. CONCLUSION: This novel technique is feasible and effective and can be considered as standard for topical MMC application on esophageal stricture.
Authors: Nour A Tashtush; Ziad A Bataineh; Dawood H Yusef; Thekraiat M Al Quran; Liqa A Rousan; Ruba Khasawneh; Abdelwahab J Aleshawi; Eyad M Altamimi Journal: Ann Med Surg (Lond) Date: 2019-08-01