内镜下食管胃底静脉曲张硬化栓塞治疗所致贲门狭窄2例的处理及文献复习

Management of cardiac stricture in two patients who underwent endoscopic sclerotherapy and embolization therapy for gastroesophageal varices and literatures review

目的探讨内镜下食管胃底静脉曲张硬化栓塞治疗后贲门狭窄安全有效的治疗方法。方法选择兰州市第二人民医院消化科2012年1月至2015年5月间肝硬化患者行静脉曲张硬化栓塞治疗后发生严重贲门狭窄的2例患者,行内镜下球囊扩张术和内镜下支架置入术治疗,并对贲门狭窄的治疗方法进行文献复习。结果既往内镜下球囊扩张术和放置可回收支架多用于治疗贲门失弛缓症、手术瘢痕、肿瘤等原因所致的贲门狭窄。本研究中,我们用该方法治疗2例食管胃静脉曲张硬化栓塞治疗后所致的贲门狭窄,取得了同样良好的效果。结论内镜下放置可回收支架是治疗食管胃静脉曲张硬化栓塞治疗后贲门狭窄安全、有效的方法。

Objective To investigate the safety and effective therapeutic method for eardia stricture caused by endoscopic sclerotherapy and embolization therapy of Gastro-esophageal Varices. Methods Two patients with severe cardiac stricture who underwent endoscopic selerotherapy and embolization therapy for gastro esophageal varices in our department from January of 2012 to May of 2015 were selected. Endoscopic balloon catheter and stents insertion therapy was performed. Literatures about therapy of cardia stricture were reviewed. Results Endoscopic balloon catheter and stents insertion therapy was generally used in patients with cardiac stricture caused by achalasia of cardia, operation scar and tumor etc. In our study, this method was used in patients with cardiac stricture who underwent endoscopic sclerotherapy and embolization therapy for gastroesophageal varices. The same satisfactory results were got. Conclusion Endoscopic stents insertion therapy is safe and effective in the treatment of cardiac stricture caused by endoscopic sclerotherapy and embolization therapy for gastroesophageal variees.