A CASE OF UPPER ESOPHAGEAL STRICTURE AFTER PROXIMAL GASTRECTOMY

Abstract

A 59-year-old woman was admitted to our hospital in April 1993 because of dysphagia for a year. She had undergone proximal gastrectomy in 1980. Esophagogram and endoscopic examination showed an annular stricture (5mm in diameter) of the upper thoracic esophagus at a distance of 25cm from the dental arch. Histologic examination of biopsy specimens, 24 hour pH monitoring and chemical findings of the reflux juice in the esophagus demonstrated benign esophageal stricture with Barrett's esophagus caused by ref lux esophagitis. Endoscopic balloon dilatation was performed. We reported this case because of a rare case of severe stricture of the upper thoracic esophagus after proximal gastrectomy.