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Estenosis esofágica benigna - Treatment

Tratamiento:

La dilatación (estiramiento) del esófago es el tratamiento preferido y es posible que este procedimiento necesite repetirse después de un cierto período de tiempo para evitar que la estenosis se estreche de nuevo.

Los inhibidores de la bomba de protones (medicamentos que bloquean los ácidos) pueden impedir la reaparición de una estenosis péptica. El tratamiento quirúrgico rara vez se necesita.

Expectativas (pronóstico):

El paciente puede desarrollar la estenosis de nuevo en el futuro.

Complicaciones:

La dificultad para deglutir puede impedir que el paciente reciba suficientes líquidos y nutrientes. Los alimentos sólidos, especialmente la carne, pueden resultar atorados por encima de la estenosis y pueden necesitar una endoscopia para extraerlos.

Además, con la regurgitación, hay un aumento del riesgo de que el alimento, los líquidos o el vómito ingresen a los pulmones y causen ahogamiento o neumonía por aspiración.

Situaciones que requieren asistencia médica:

Consulte con el médico si persiste la dificultad para deglutir.

  • Reviewed last on: 12/13/2010
  • George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Ginsberg GG, Pfau PR. Foreign bodies, bezoards, and caustic ingestions. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 25.

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