Document Detail


Endoscopic dilation of benign esophageal strictures without fluoroscopy: experience of 2750 procedures.
MedLine Citation:
PMID:  18795685     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: To report a large series of patients with strictures from different etiologies who underwent dilation without fluoroscopy. METHODOLOGY: Between 1992 and 2005, 321 patients who underwent 2750 dilation sessions were entered in a database. Dysphagia score, cause and location of the stricture and diameter of the bougies were recorded in every session. RESULTS: The mean follow-up period was 18.8 months. Stricture was postsurgical in 204 patients, peptic in 60, caustic in 13, postradiotherapy in 13, and from other causes in 31. Clinical response was achieved in 92% of the postsurgical patients; 84% of the caustic injuries; 81% of the peptic patients; and 58% of the radiation injuries (p < 0.05). Absence of dysphagia was obtained in 68, 38, 67 and 27% of these, respectively (p < 0.05). All groups showed a significant improvement in dysphagia score, and 98% of patients in whom a 45F catheter was inserted, achieved clinical response. There were 6 perforations, with 2 deaths. CONCLUSIONS: Endoscopic dilation for benign esophageal strictures without fluoroscopy is safe and effective. Postsurgical patients show excellent results for dilation, and caustic and post-radiotherapy strictures have the worst response. A diameter of 45F is a satisfactory end-point for therapy in the majority of cases.
Authors:
Ricardo Raymondi; Júlio C Pereira-Lima; Alexandro Valves; Gustavo F Morales; Daniela Marques; César Vivian Lopes; Cláudio A Marroni
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  55     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2008 Jul-Aug
Date Detail:
Created Date:  2008-09-17     Completed Date:  2009-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  1342-8     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology and Hepatology, Santa Casa University Hospital of the Porto Alegre School of Medical Sciences (FFFCMPA), Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Balloon Dilatation*
Child
Cohort Studies
Deglutition Disorders / etiology,  therapy
Endoscopy, Digestive System*
Esophageal Stenosis / etiology,  pathology,  therapy*
Female
Fluoroscopy
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Young Adult

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


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