K O Ba Hakem, MD, M A Ibn Ouf, Professor of surgery, M O Gadour, Professor of Medicine. Ibn Siena Hospital , GI bleeding Centre ,Sudan
Post endoscopic sclerotherapy oesophageal stricture is usually not fatal but may requires several sessions of oesophageal dilation as an effective palliative treatment yet has its own complications.
The purpose of this study is to find out the predictors of sclerotherapy oesophageal stricture and to audit its treatment.
This is a cross sectional descriptive study of the oesophageal stricture post sclerotherapy for the patients who were managed in the period from January 2000 through the June 2007 in endoscopic department at Ibn Sina Hospital. Post endoscopic sclerotherapy symptoms, signs, diagnostic and therapeutic methods were analysed to find out possible predictors of developing benign oesophageal stricture.
A total of 33 out of 10133 patients were included in this study, 91% of them were males, 88% were <60years old and most of them were cases of hepatic periportal fibrosis. Only two patients had oesophageal varices secondary to viral hepatitis B liver cirrhosis. Their presentation was commonly with difficulty in swallowing and few cases presented with food impaction. The majority of patients were treated with wire guided endoscopic Savary Gilliard dilation.
Oesophageal stricture following endoscopic injection sclerotherapy is a known morbidity; however the rate of these strictures is fairly acceptable. High dose of sclerotherapy in fewer sessions over a short period and other factors are potential predictors of oesophageal stricture.
Key words: Oesophageal varices, sclerotherapy, benign oesophageal stricture
by : Ba hakem K.O.,Prof. Ibnouf M.A., Prof.gadour M.O.
Session Number: Poster – Poster Presentations
Program Number: P634