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.
Abbreviations:
MMC (Mitomycin C)Key words
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Article info
Publication history
Accepted:
March 29,
2013
Received in revised form:
March 27,
2013
Received:
December 31,
2012
Footnotes
☆Conflict of interest statement: None.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
