抄録
An 88-year-old woman who underwent endoscopic variceal ligation (EVL) plus argon plasma coagulation (APC) had an esophageal stricture resistant to balloon dilatation. To avoid inflammatory response which could cause collagen formation, we treated her with dilatation together with intralesional steroid injection. She achieved lasting remission after the treatment. Previous reports suggest that intralesional steroid injection could be effective in peptic strictures or radiation-induced strictures ; however, effectiveness in case of corrosive strictures or anastomotic strictures is questionable. Moreover, only one case intralesional steroid injection for a post-sclerotherapy stricture resistant to dilatation has been reported (Gastrointest Endosc, 41 : 598-601, 1995) , and no case of post-EVL plus APC has been reported. We suggest that intralesional steroid injection is effective in treatment of post-EVL plus APC stricture resistant to dilatation.
