Serial dilatation using an angioplasty balloon catheter and esophageal dilator can safely and effectively treat anastomotic stenosis following sleeve lobectomy.
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Hypothesis-generating for serial dilatation in post-sleeve lobectomy stenosis; larger prospective studies needed before adoption.
A 20-year-old man complained of chest pain fifty days after right upper sleeve lobectomy, and bronchoscopic examination revealed a stenosis due to granulation at the anastomotic site. A use of angioplasty balloon catheter followed by Savary-Gillard esophageal dilator resulted in a successful dilatation with symptomatic remission. However, restenosis occurred one week later, and repeated dilatation was performed 10 times on ambulant basis to prevent restenosis. This serial treatment can be done safely and effectively without any specialized equipment. Follow-up, as of over more than ten months since the first dilatation, had shown no repeat restenosis nor recurrence.
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ISOBE et al. (1990) studied this question.
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