Giris ve amaç: Buji dilatasyon tedavisi benign özofagus darliklari için etkin ve birçok darlik için birinci basamak tedavidir. Bu çalismanin amaci benign özofagus darliklarinin etyolojilerine göre Savary-Gilliard buji dilatasyonunun etkinligini arastirmaktir. Gereç ve yöntem: Mayis 95-Mart 99 yillari arasinda Terapötik Endoskopi Grubu’nda takip edilen ve toplam 97 seans dilatasyon uygulanan 21 hastanin sonuçlarini degerlendirdik. Bu hastalarin 9’u (8E,1K) cerrahi sonrasi darlik (ort. 64 yas, erim 16-68 yas), 8’i (5E,3K) peptik darlik (ort.39.2 yas,erim 15-65 yas), 4’ü (1E,3K) radyoterapi sonrasi darlik (ort.62.5 yas,erim 51-76 yas) seklindeydi. Ondört mm’ye kadar dilatasyonu yeterli olarak kabul ettik. Periyodik dilatasyon indeksini; dilatasyon sayisini takip edilen süreye (ay olarak) oranlayarak hesapladik. Bulgular: Gruplar arasinda yas, cinsiyet, lokalizasyon, semptomlarin tekrarlama sikligi, toplam dilatasyon sayisi ve periyodik dilatasyon indeksi açisindan fark yoktu. Yalnizca dilatasyon tedavisinin basarisi açisindan cerrahi sonrasi darlikla peptik darlik arasinda istatistiki olarak anlamli bir fark saptandi (p=0.04). Sonuç: Benign özofagus darliklarinin tedavisinde etyolojisine bakilmaksizin disfajinin sagaltimi asil amaçtir. Her ne kadar peptik darliklar güç dilate edilseler de seçilecek ilk tedavi dilatasyon olmalidir.
Background and aims: Bougie dilatation is effective treatment for benign esophageal strictures, and should be utilized as primary therapy for most strictures. We aimed to evaluate the effectiveness of Savary- Gilliard bougie dilators according to the etiology of benign esophageal strictures such as peptic anastomotic, and postradiotherapy. Materials and methods: Between May 1995 and March 1999, 21 patients were followed in the "Therapeutic Endoscopy Group" and underwent a total of 97 dilatation sessions. The anastomotic group was composed of nine patients (8M, IF) (mean 64 years, range 16-68), the peptic group of eight patients (5M, 3F) (mean 39.2 years, range 15-65), and the postradiotherapy group of four patients (1M,3F) (mean 62.5 years, range 51-76). Dilation of 15mm was considered successful. Periodic dilation index was estimated by rating total dilation number to follow up time (months). Results: There was no difference between these group with respect to age, sex, localization, symptoms recurrence frequency, total dilatation number and dilatation number per month. When the anastomotic group (6/9, 66.7%) was compared with the peptic group (5/8, 62.5%), the success of the Savary-Gilliard bougie dilators was significantly different (p=0.04). Conclusion: In view of the varied etiology of benign esophageal strictures, esophageal dilation should be chosen as first therapy.