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.
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.
This novel technique is feasible and effective and can be considered as standard for topical MMC application on esophageal stricture.
Abbreviations:MMC (Mitomycin C)
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Accepted: March 29, 2013
Received in revised form: March 27, 2013
Received: December 31, 2012
☆Conflict of interest statement: None.
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.