Document Detail


Effectiveness of esophageal dilation for symptomatic cricopharyngeal bar.
MedLine Citation:
PMID:  15672078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The cricopharyngeal (CP) bar is an uncommon but important cause of oropharyngeal dysphagia (OPD). Treatment options include CP myotomy, which can be problematic, because CP bars primarily occur in elderly patients who are at higher risk for perioperative complications. The effectiveness of esophageal dilation for patients with symptoms caused by a CP bar is not well studied. METHODS: A review of medical records (1999 to 2002) identified 32 patients with CP bar. Six of these patients who had OPD that could only be attributed to a CP bar underwent EGD and dilation with either over-the-guidewire polyvinyl dilators (5) or a balloon (1). OBSERVATIONS: All 6 patients experienced immediate relief of dysphagia. Five had continued improvement at short-term follow-up (1 to 4 weeks). Three patients still had complete resolution of dysphagia at long-term follow-up (range 8 to 27 months). CONCLUSIONS: CP bar is an important cause of dysphagia in elderly patients. Esophageal dilation of a CP bar can produce long-term relief of dysphagia.
Authors:
Andrew Y Wang; Reena Kadkade; Peter J Kahrilas; Ikuo Hirano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Gastrointestinal endoscopy     Volume:  61     ISSN:  0016-5107     ISO Abbreviation:  Gastrointest. Endosc.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-26     Completed Date:  2005-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0010505     Medline TA:  Gastrointest Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  148-52     Citation Subset:  IM    
Affiliation:
Divison of Gastroenterology, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611-3008, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Balloon Dilatation*
Deglutition Disorders / diagnosis,  etiology*,  therapy*
Endosonography
Esophageal Sphincter, Upper*
Female
Follow-Up Studies
Humans
Middle Aged
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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