Abstract
A 61-year-old female with refractory corrosive esophageal stenosis repeatedly underwent endoscopic balloon dilation at another hospital; however, no improvements were observed in the esophageal stenosis. Consequently, she had been on a liquid diet for the previous three years. She was admitted to our department for further treatment. A radial incision was made, by use of the SB knife Jr, for a pinhole-like stenosis in a short segment 39 cm from the incisor, and dilation was safely performed by use of a CRE balloon dilator. Subsequently, prednisolone was orally administered to prevent re-stenosis. This was followed by a favorable clinical course.
Highlights
Refractory benign esophageal stenosis makes it difficult to consume meals, which markedly reduces a patient’s quality of life
A 61-year-old female with refractory corrosive esophageal stenosis repeatedly underwent endoscopic balloon dilation at another hospital; no improvements were observed in the esophageal stenosis
To treat a patient with refractory corrosive esophageal stenosis safely and effectively, we used an endoscopic submucosal dissection (ESD) device, the SB knife Jr, combined with oral steroid therapy, which is reportedly useful for preventing restenosis after dilation for esophageal stenosis
Summary
Kouichi Nonaka • Shinichi Ban • Masayasu Aikawa • Akira Yamasaki • Ayako Okuda • Takeyasu Kounoe • Hideaki Naoe • Kouichi Sakurai • Mitsuo Miyazawa • Hiroto Kita • Yutaka Sasaki Received: 7 January 2013 / Accepted: 30 March 2013 / Published online: 20 April 2013 Ó The Author(s) 2013. This article is published with open access at Springerlink.com
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