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目的：总结食管-胃-空肠吻合口狭窄内镜下扩张治疗的疗效及经验．方法：对43例食管癌贲门癌术后食管胃和食管空肠吻合口狭窄患者行国产Savary-Gilliard探条扩张器胃镜下扩张术,术后进行局部活检,其中5例置放了食管支架．结果：所有病例扩张术后吞咽困难stooler分级明显提高,吞咽困难解除,近期有效率100%,扩张术后活检病理证实3例复发．12例行4-7次扩张,2例吻合口狭窄仍再发．结论：胃镜下探条扩张器治疗食管胃空肠吻合口狭窄安全有效,少部分经多次连续规则扩张仍狭窄再发者可置放食管支架,扩张术后应常规活检以排除局部癌症复发．
Objective: To summarize the curative effect and experience of endoscopic esophageal-gastric-jejunostomy stenosis under endoscopic dilatation. Methods: Forty-three patients with esophageal and esophageal jejunostomy esophageal and esophageal anastomotic stenosis underwent gastroscopic dilatation with Savary-Gilliard probe dilator underwent endoscopic biopsy. Five patients underwent esophageal stent placement. Results: In all cases, the stooler grade was significantly improved after swallowing, and the swallowing difficulty was relieved. The effective rate was 100%. The biopsy pathology confirmed the recurrence in 3 cases. 12 cases of 4-7 dilation, 2 cases of anastomotic stenosis is still recurrence. Conclusion: Gastroscopic probe dilator is safe and effective for the treatment of esophagogastric jejunostomy stenosis. A small number of stented esophageal and esophageal stents can be placed in esophageal stent after multiple continuous rules dilatation. Conventional biopsy should be performed after dilatation to rule out recurrence of local cancer.