Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study

The results of the case report conducted by Rusdiyana Ekawati, MD, Nurike Setyari Mudjari, MD, Arianti, MD, Annisa Z. Mufida, MD, Budi Widodo, MD, Titong Sugihartono, MD, PhD, and Herry Purbayu, MD have been published in the Acta Medica Indonesiana Journal Vol. 56 No. 1 (2024) with the title “Endoscopic Dilatation with Ultrathin Endoscope Assisted Method for Esophageal and Pyloric Stricture related Corrosive Injury: 4 Years Case Series Study.” This study describes the outcomes of Endoscopic Dilatation (ED) in patients with Corrosive Injury (CI) conducted over 4 years (from July 2018 – July 2022).

Abstract
Corrosive injuries (CI) become medical problems related complications include esophageal, pyloric stricture and squamous cell carcinoma, physical and quality of life. Endoscopic (ED) dilatation is primary therapy. The ultrathin endoscope-assisted method is potentially safe and useful in avoiding technical failure. Describe clinical outcomes of ED ED-related CI including successful, refractory, recurrent, and complications-related procedures. Case series study of esophageal and/or pyloric stricture patients after CI who underwent dilatation at Soetomo General Hospital (July 2018 – July 2022). One – biweekly ED using Through the Scope (TTS) balloon or Savary Bougie dilator. The target diameter is 14mm. Fifteen patients with stricture-related CI. Eleven patients underwent ED with a total of 73 procedures. Mean age 31,45 years, predominantly male patients (6), suicide attempt (7), acid agent (9), located at esophagus (3), pylorus (3), or both (5). Number of esophageal dilatation to achieve the target of 14 mm was 1-2 and 2-15 procedures for simple and complex stricture. Five esophageal strictures were successfully dilated but 2 patients were recurrent and 3 cases were refractory to ED. Pyloric dilatation resulted in a lower success rate. Recurrent and refractory cases were 5 and 3 patients respectively. ED with ultrathin endoscope method is useful for traversing guidewire during ED. Ongoing inflammation and fibrosis were linked to recurrent and refractory stricture.

Keywords: Corrosive injury; dilatation; esophageal; pyloric stricture.

To access the complete research article, please visit the following link:
Acta Medica Indonesiana Journal Vol. 56 No. 1 (2024)

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