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Endoscopic treatment of anastomotic oesophageal stricture: a randomised study comparing initial dilation by electrocautery with Savary bougies with electrocautery

Completed
Conditions
Anastomotic oesophageal stricture
Surgery
Other diseases of oesophagus
Registration Number
ISRCTN81239664
Lead Sponsor
Erasmus Medical Centre (The Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
62
Inclusion Criteria

Sixty-two unselected consecutive patients with dysphagia due to a benign anastomotic stricture after transhiatal oesophagectomy with gastric tube reconstruction and cervical anastomosis will be included and randomised to either treatment arm. After informed consent, patients will either undergo dilation with Savary bougies, or primary electocautery.

Exclusion Criteria

1. Oesophageal dilation with bougies or electrocautery is rarely contraindicated.
Patients should however not be dilated if they recently suffered from acute oesophageal perforation
2. Dilation is relatively contraindicated in the presence of:
2.1. a bleeding diathesis
2.2. severely compromised pulmonary function
2.3. severe or unstable cardiac disease, or in
2.4. patients with large thoracic aortic aneurysms

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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