How is esophagus narrow treated

summary

Esophageal stenosis can be divided into congenital and acquired two, in the upper part of the stenosis with esophageal dilatation and hypertrophy. It is very rare in clinic, more than in childhood, and often needs surgical treatment. Clinically, it should be distinguished from secondary esophageal stenosis. Let's share some experience.

How is esophagus narrow treated

First, congenital esophageal septum. Most of the esophageal cavity is blocked by membrane or fibrous band, leaving only small holes that can pass through the liquid food. In infancy, there is no clinical symptoms, and dysphagia occurs at the beginning of eating thick paste or solid food. Esophageal X-ray examination showed that the esophageal cavity was narrow, and esophagoscopy could see the lesions and make a definite diagnosis.

Second, esophageal chemical burns and cicatricial strictures cause immediate damage to the esophagus after swallowing alkaline or acidic chemicals, resulting in esophageal chemical burns and cicatricial strictures. Taking vinegar or soda water and other anticoagulants can no longer play a neutralizing role.

Third: emetics or gastric lavage can aggravate esophageal injury, should not be used. It is difficult to perform high esophagogastrostomy because the chemical burn of esophagus often results in long esophageal stricture, and most of the stomach is involved at the same time, or even causes scar contracture.

matters needing attention

In the past, only surgery was used to treat benign esophageal stricture, that is, dilation of membranous diaphragm by esophagoscope. If the diaphragm is tough, the narrow segment of the esophagus should be removed through thoracotomy, and then the end-to-end anastomosis of the esophagus should be performed. The patients suffered a lot, the cost was high, and there were many postoperative complications.