Affiliation:
1. The London Hospital, Whitechapel, London, E1
Abstract
Summary
A review of the different bougies used over the years confirms that the dilators presently available are adequate for the conservative management of cesophageal benign strictures. Most of these are of an old but well-tested design. Several additional techniques may have to be tried in difficult patients. Dysphagia can be relieved by the passage of size 39 FG bougies but many will wish to increase this to 60 FG, if it is possible. Failure of conservative management by dilatation only can be defined as (a) technical impossibility to dilate sufficiently to relieve the dysphagia, which is rare, or (b) when the patient or the surgeon considers the procedure is being done too frequently, which must be measured in FG for the bougie and weeks for frequency. The more expert the surgeon becomes at dilatation, the safer it will become, and the necessity for surgical intervention will be less frequent.
Publisher
Oxford University Press (OUP)
Reference89 articles.
1. On strictures of the esophagus and the danger of the bougie therein;Fletcher,1831
2. Zur Geschichte der Oesophago- und Gastroskopie;Killian;Deutsch. Zeitschr. Chir.,1901
3. Die Untersuchung der Oesophagus mit dem Kehlkopfspiegel;Stoerk;Wien. Med. Wochensch.,1881
4. Origins of oesophagology;Kelly;Proc. R. Soc. Med.,1969
Cited by
67 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献