1986 Volume 28 Issue 6 Pages 1335-1343
Endoscopic cutting method was applied to 14 patients with stenotic stoma after upper gastrointestinal operations. In some patients, dilatation by a balloon catheter method was used after the endoscopic cutting.(1) This method was successfully performed in 12 patients out of 14 patients tried.(2) Sufficient results were obtained in 11 patients within 1-2 times of the endoscopic cutting.(3) This method was successful in all of 9 patients with gastric diseases or esophageal varices, but not successful in 2 patients out of 5 patients with esophageal cancer. There were 2 common factors in these 2 patients. The first factor was severe esophageal stricture longer than 1 cm to the longitudinal axis. The other was a longitudinal axis deviation between the esophageal line and the stomal line.(4) This method is a safe and useful technique for the stomal stricture after upper gastrointestinal operations.
