Systemic Sclerosis with Esophageal Stenosis Treated Successfully by Endoscopic Esophageal Dilatation Therapy
Posted Nov 10 2010 6:26pm
The case was a 35-year-old woman, who was diagnosed with diffuse scleroderma from Raynaud symptom, existence of the sclerema, anti-topoisomerase I antibody positive, skin histopathological image in 1993. She had medical examination in respect of this service in 2001. At first visit, anti-topoisomerase I antibody, anti-SS-A antibody, and anti-U1-RNP antibody were positive, and the pulmonary fibrosis was combined with reflux esophagitis. The stenosis of the strength was recognized in the cardiac region right over, when the upper endoscope was done, since she complained of the strong swallowing difficulty. The stenosis was improved obviously, when the balloon dilatation was done under the endoscope, and the swallowing difficulty also disappeared. It was considered that endoscopic balloon dilatation was useful for esophageal stenosis with diffuse scleroderma.