Document Detail


Endoscopic treatment of benign and malignant strictures of the cervical esophagus and hypopharynx.
MedLine Citation:
PMID:  22397219     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVES: We evaluated the efficacy of endoscopic techniques employed in the management of cervical esophageal and hypopharyngeal strictures.
METHODS: A series of 45 patients with cervical esophageal (35) and/or hypopharyngeal strictures (10) were included. Twenty-five patients (55.6%) with neoplastic strictures were treated for palliation alone. The stenosis was related to radiotherapy in 11 patients (24.4%) and to postsurgical complications in 9 (20%). A group of 23 patients was treated with dilation alone (group 1). A second group included 22 patients treated with insertion of a self-expandable stent after failure of dilation treatment (group 2). The swallowing test data, clinical notes, and surgical reports were reviewed.
RESULTS: All of the patients showed some degree of relief of dysphagia. In group 1, 19 of the 23 patients required multiple dilation treatments to maintain normal deglutition. In group 2, 7 of the 22 patients recovered regular oral feeding after stent placement, 10 patients reported pain and foreign body sensation, 2 patients reported pain so severe that stent removal was required, and 3 patients experienced stent migration. All but 3 of the 25 patients with inoperable tumors died during follow-up, but no patients with benign stenosis died.
CONCLUSIONS: The two groups showed comparable functional results. Dilation often requires multiple procedures, but is usually well tolerated. Placement of self-expandable stents is effective, but is generally less well tolerated.
Authors:
Andrea Gallo; Giulio Pagliuca; Marco de Vincentiis; Salvatore Martellucci; Elsa Iallonardi; Gianfranco Fanello; Fabrizio Cereatti; Fausto Fiocca
Related Documents :
22620289 - Carbamazepine treatment of bipolar disorder: a retrospective evaluation of naturalistic...
22790249 - Comparison of stent-retriever devices versus the merci retriever for endovascular treat...
22458919 - Skin reactions in a phase 3 study of a testosterone topical solution applied to the axi...
22340019 - Observational study on the impact of initiating tiotropium alone versus tiotropium with...
22295939 - The impact of intra-aortic balloon pump weaning protocols on in-hospital clinical outco...
22672279 - Subcision for treatment of rolling acne scars in iraqi patients: a clinical study.
17336229 - The effect of metoclopramide on gastric emptying in traumatic brain injury.
7404309 - Prevention of alcohol withdrawal symptoms in surgical patients.
17114009 - Exocrine function following the whipple operation as assessed by stool elastase.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  121     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-03-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  104-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Medical Surgical Sciences and Biotechnologies, Sapienza University of Rome, Rome, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  Parotidectomy: a 17-year institutional experience at a rural academic medical center.
Next Document:  Effects of early commercial air travel on graft healing rates after tympanoplasty.