Surgical treatment of noncaustic benign esophageal stenosis

• Main Authors: Ming-Ho Wu, Han-Yun Wu
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2019-01-01
• Series: Formosan Journal of Surgery
• Subjects: Achalasia; esophageal stenosis; noncaustic
• Online Access: http://www.e-fjs.org/article.asp?issn=1682-606X;year=2019;volume=52;issue=1;spage=1;epage=5;aulast=Wu

Background: Noncaustic benign esophageal stenosis is an uncommon esophageal disorder. We report herein our surgical results for this type of esophageal stenosis. Materials and Methods: A retrospective review of 30 patients presenting with noncaustic benign esophageal stenosis between June 2009 and February 2018 was conducted. Patient demographics, preoperative diagnoses, treatment strategies, surgical procedures, and the postoperative course of treatment were investigated. Results: No hospital death occurred. Four (13.3%) patients had operative complications, namely, one incident of a duodenal bleeding ulcer, one incident of respiratory failure, and two incidents of wound infections. One patient with primary achalasia required a second myotomy 5 months after initial surgery. All other patients resumed a regular diet after surgery. Conclusion: Delayed diagnosis and treatment of noncaustic benign esophageal stenosis are common. The surgical approach depends on the location and nature of the esophageal disease. Quality of life of patients can be enhanced through careful surgery.