Abstract
During a 2-year period, 103 consecutive patients undergoing dilation of esophageal strictures induced by radiation therapy for cancer of the esophagus were prospectively studied. The length of the strictures ranged from 0.5 to 13.5 cm (median, 5 cm) and the luminal diameter from 1 to 11 mm (median, 6 mm). Patients were referred for dilation from 2 weeks to 5 years (median, 2 months) after completion of radiation therapy. The guide wire was placed using fluoroscopy in 21 patients, endoscopy in 61, and a combination of endoscopy and fluoroscopy in 21. At least one dilator larger than the stricture could be passed in 101 (98%) patients. Five strictures were dilated to 16 mm, 29 to 15 mm, 28 to 14 mm, 16 to 12.8 mm, and 23 to 12 mm or less during the initial procedure. Development of complications and severe resistance were the limiting factors for optimal dilation. Relief of dysphagia was adequate in 66% of patients. The duration of dysphagia relief was 3 to 84 weeks (median, 16 weeks). Complications included persistent pain in 7 patients, unexplained fever in 2, perforation in 2, and delayed tracheo-esophageal fistula in 1. Two patients died of treatment-related complications. Repeated dilation was required in 32 of the 75 patien...Continue Reading
References
Jun 1, 1979·Cancer·J D BeattyW D Rider
Sep 1, 1992·Gastrointestinal Endoscopy·K M MohandasD C Desai
Mar 1, 1991·Gastrointestinal Endoscopy·S C KadakiaE C Starnes
May 15, 1988·Cancer·I C O'RourkeA O Langlands
Mar 1, 1989·World Journal of Surgery·G N Tytgat
Dec 1, 1985·Gastrointestinal Endoscopy·J F DumonD Fleischer
Nov 1, 1981·Gastrointestinal Endoscopy·A B Tulman, H W Boyce
Dec 1, 1981·The British Journal of Surgery·R Earlam, J R Cunha-Melo
Citations
Nov 1, 1996·Journal of Surgical Oncology·V DhirD C Desai
Dec 22, 1999·Journal of Clinical Gastroenterology·Z Younes, D A Johnson
May 6, 2011·BMC Gastroenterology·Hajime IsomotoKazuhiko Nakao
Mar 24, 2010·AJR. American Journal of Roentgenology·Hong-Tao HuHo-Young Song
Dec 3, 2014·Gastrointestinal Endoscopy Clinics of North America·Jason N Rogart
Sep 1, 2011·Digestive Diseases and Sciences·Yaşar TunaSeyfettin Köklü
Dec 18, 2013·Gastrointestinal Endoscopy·Shabana F PashaBrooks Cash
Sep 19, 2012·Gastrointestinal Endoscopy·Tamir Ben-MenachemBrooks D Cash
Apr 16, 2011·Gastrointestinal Endoscopy·Naoyuki YamaguchiKazuhiko Nakao
Mar 1, 2011·Gastrointestinal Endoscopy·Joseph RomagnuoloBret T Petersen
Apr 19, 2008·Seminars in Thoracic and Cardiovascular Surgery·Scott B Johnson
May 25, 2002·Gastrointestinal Endoscopy·Glenn M EisenUNKNOWN American Society for Gastrointestinal Endoscopy
Apr 5, 2001·Journal of Vascular and Interventional Radiology : JVIR·R Morgan, A Adam
Apr 3, 2007·Gastrointestinal Endoscopy Clinics of North America·Michael L Kochman
Oct 24, 2006·Gastrointestinal Endoscopy·John T MapleMark V Larson
Nov 5, 1997·The Surgical Clinics of North America·J M Wo, J P Waring
Oct 4, 2014·Surgical Endoscopy·Anant AgarwallaMichael L Kochman
Nov 19, 2011·International Journal of Surgery Case Reports·Mark D WilkieAndrew S Evans
Oct 2, 2007·Gastrointestinal Endoscopy·Rhett M Shirley, Mohamad A Eloubeidi
Jul 29, 2008·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Kailapuri G MurugavelSadras Panchatcharam Thyagarajan
Jun 3, 2017·Acta Radiologica·Jung-Hoon ParkJong Hoon Kim
Aug 2, 2016·Journal of Clinical Gastroenterology·Jeffrey S CooperTarra Brakke
Jun 1, 1995·Gastrointestinal Endoscopy·M LeeS C Kadakia
Apr 1, 1997·The Annals of Otology, Rhinology, and Laryngology·M K WaxR Lough
Feb 2, 2011·Digestion·Naoyuki YamaguchiKazuhiko Nakao
Aug 13, 1999·The American Journal of Gastroenterology·V S Swaroop
Sep 3, 2010·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jin Hyoung KimHo-Young Song
Jan 18, 2006·Journal of Travel Medicine·Thomas E A H KüpperJuergen Steffgen
May 1, 1997·Scandinavian Journal of Gastroenterology·H E AdamekJ F Riemann
Aug 16, 2021·Cancer radiothérapie : journal de la Société française de radiothérapie oncologique·G Camprodon, F Huguet