التضيق المريئي الهضمي مع مرض الجزر المعدي المريئي عندما لم يحل التوسيع بالمنظار عسر البلع

References

Gastroesophageal reflux disease (GERD) can cause inflammation, ulceration, and fibrosis of the distal esophagus, leading to the development of peptic strictures. Peptic strictures are conclusive evidence for a diagnosis of GERD.

For refractory peptic strictures, triamcinolone injection into the stricture prior to dilation or stent placement can reduce the risk of stricture recurrence. In a controlled trial of 30 patients with a recurrent peptic esophageal stricture, patients were randomized to receive either steroid injection (40 mg triamcinolone injected in four 1 mL aliquots of saline solution) or sham injection into the stricture followed by balloon dilation of the stricture.

DOI: 10.1016/j.giec.2025.02.002