Abstract | PURPOSE: The first line of management of benign esophageal stricture is endoscopic dilatation; however, multiple sessions are usually indicated especially in resistant cases. Topical Mitomycin C (MCC) application is a new adjuvant treatment in the management of esophageal stricture with promising results in different case series. Several techniques have been reported for application; nevertheless, the ideal technique has not been described yet. MATERIAL AND METHODS: In this series we have devised a new technique using both the flexible and the rigid endoscope and a specially designed Nelaton catheter. RESULTS: This technique was applied in 38 sessions for 16 caustic esophageal strictures with technical success in all cases. No procedure-related complications were observed in this series. CONCLUSION: This novel technique is feasible and effective and can be considered as standard for topical MMC application on esophageal stricture.
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Authors | Khaled Mohamed El-Asmar |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 48
Issue 6
Pg. 1454-7
(Jun 2013)
ISSN: 1531-5037 [Electronic] United States |
PMID | 23845649
(Publication Type: Clinical Trial, Journal Article)
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Copyright | Copyright © 2013 Elsevier Inc. All rights reserved. |
Chemical References |
- Alkylating Agents
- Mitomycin
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Topics |
- Administration, Topical
- Alkylating Agents
(therapeutic use)
- Burns, Chemical
(complications, drug therapy, therapy)
- Catheters
- Child
- Combined Modality Therapy
- Dilatation
(instrumentation, methods)
- Esophageal Stenosis
(chemically induced, drug therapy, therapy)
- Esophagoscopes
- Esophagoscopy
(instrumentation, methods)
- Follow-Up Studies
- Humans
- Mitomycin
(therapeutic use)
- Treatment Outcome
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