Endoscopic Dilatation versus Oesophageal Stent in Benign Oesophageal Stricture
Abstract: Oesophageal
stricture is one of the causes of dysphagia. It is a condition in which the
lumen of oesophagus is narrowed by fibrotic tissue in the oesophageal wall. It
is usually caused by inflammation or any other cause that leads to necrotizing
of tissue. It is mainly differentiated into benign or malignant. The aim of
this article is to answer the clinical question on the effectiveness of
oesophageal stenting compared to endoscopic dilatation in patient with benign
oesophageal stricture due to ingestion of corrosive substances, who had
undergone several endoscopic dilatations.
Method: We conducted search of relevant articles using PubMed search
engine to answer the clinical question. Keywords being used during the search
process were: ("oesophageal stricture"[All Fields] OR
"oesophageal stenosis"[All Fields] AND (("dilatation"[All
Fields] AND ("stents"[MeSH Terms] OR "stents"[All Fields]
OR "stent"[All Fields]). Results were further converged by adding
specific filters, which were full text articles and clinical trial.
Results: The chosen article was further appraised in order to identify
its validity and eligibility to answer the clinical question. We chose to use
CONSORT (statement to improve the quality of reporting of RCTs) to facilitate
the critical appraisal and interpretation of RCTs.
Conclusion: Stenting was associated with greater dysphagia, co-medication
and adverse events. No randomized controlled trials which compared
biodegradable stents with other stents or with balloon dilatation was
identified. Lack of adequately robust evidence for effectiveness and
cost-effectiveness formed the rationale of this trial.
Keywords: benign oesophageal
stricture; endoscopic dilatation; stent
Author: Hadyanto Caputra,
Iqbal I Awang, Prionggodigdo Nugroho, Ari Fahrial Syam
Journal Code: jpkedokterangg160417
