Endoscopic treatment of anastomotic oesophageal stricture: a randomised study comparing initial dilation by electrocautery with Savary bougies with electrocautery
- Conditions
- Anastomotic oesophageal strictureSurgeryOther 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
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.
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
Name Time Method
- Secondary Outcome Measures
Name Time Method