RESULTS OF EDER-PUESTOW DILATATION IN THE MANAGEMENT OF ESOPHAGEAL PEPTIC STRICTURES

  • 1 January 1983
    • journal article
    • research article
    • Vol. 78  (1) , 6-8
Abstract
Eder-Puestow dilatation of esophageal strictures is a safe procedure. The treatment is followed by symptomatic improvement, but the effect of dilatation on the patients'' nutritional state has so far not been reported. Thirty-three patients with benign esophageal stricture were reviewed with special regard to the effect of dilatation on body weight. A total of 152 dilatations was carried out. All patients had dysphagia, 32 patients had heartburn and 20 had regurgitation. Hiatus hernia was present in 29 patients. Thirteen patients had antireflux surgery; 10 operations were performed before and 4 during the dilatation period. One patient required no further dilatations after operation. Dilators > 35 FG were passed in 85% of the dilatations. No serious complications occurred. Patients were followed for up to 5 yr (mean follow-up: 27 mo.). The mean interval between dilatations was 7 mo. Body weight was recorded before and 1 mo. after dilatation on 78 occasions. There was a significant overall weight increase of 0.78 kg 1 mo. after dilatation. The mean weight increase was greater after the 1st dilatation (1.06 kg) than after subsequent ones (0.6 kg). Eder-Puestow dilatation in patients with benign esophageal stricture led to symptomatic improvement and was followed by an increase in body weight.

This publication has 0 references indexed in Scilit: