Authors: Júlio C PereiraLima Michele Lemos Bonotto Gustavo Drügg Hahn Guilherme Watte César Vivian Lopes Carlos Eduardo Oliveira dos Santos Cláudio R Teixeira
Publish Date: 2014/08/30
Volume: 29, Issue: 5, Pages: 1156-1160
Abstract
In a doubleblind randomized fashion 19 patients 68 male with mean age of 53years old with nondilated esophagogastric complex strictures after esophagectomy with gastric pullup were assigned to receive dilation alone control or 40 mg of triamcinolone at the borders of the wall lacerations caused by the bougienage in each dilation session during the study followup Dysphagia and complications were assessed at 1 2 and 6 months Primary endpoint was to be dysphagiafreeAfter 1 month of the beginning of therapy 4 patients in the steroid group were without dysphagia in comparison to 0 patient in the control group P = 0021 Six months after endoscopic therapy 62 of the cases in the triamcinolone group versus none in the control group were dysphagiafree P = 0009 There was no perforation nor hemorrhageDrs Michele Lemos Bonotto michelelbhotmailcom Gustavo Drügg Hahn gustavodhahngmailcom Guilherme Watte gwattegmailcom César Vivian Lopes drcvlopesgmailcom and Carlos Eduardo Oliveira dos Santos ddendouolcombr have no conflicts of interest or financial ties to disclose
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