A case of esophageal stricture treated with a dilator is reported.
The patient was a 65-year-old female who complained of difficulty swallowing. Her past history revealed accidental ingestion of acetic acid 45 years before, and esophageal stricture had been diagnosed by another physician. Hard bougie treatment had been performed for 1 year. About 45 years later, her dysphagia became more severe, and she was referred to our clinic. Esophagography and endoscopy revealed two stenotic lesions, one each in the upper and lower esophagus. After being admitted, she was treated with a hard bougie dilator. After the eleventh treatment, the stenosis appeared to be adequately dilated.
Because the stenotic lesion in the upper esophagus was at the introitus of the esophagus and the stenotic lesion in the lower esophagus appeared to have been caused by reflux esophagitis, we tried treating the patient with a dilator.
