Dilation of proximal esophageal strictures following therapy for head and neck cancer: experience with Savary Gilliard dilators

Journal of Surgical Oncology
V DhirD C Desai

Abstract

There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators. Twenty-one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5-point scale. Technical success, dysphagia relief, complications, and duration of relief were noted. Technical success was achieved in 20 (95%) patients. Adequate dysphagia relief was obtained in 15/20 (75%) patients, which lasted for 4-36 weeks (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks. Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer.

References

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Citations

Dec 18, 2013·Gastrointestinal Endoscopy·Shabana F PashaBrooks Cash
Mar 27, 2007·Gastrointestinal Endoscopy·Massimo ConioPeter D Siersema
Jun 19, 2013·The Laryngoscope·Claudia I ChapuyLaura A Goguen
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May 26, 2018·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·M M SzczesniakI J Cook
Jan 17, 2008·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S K AhlawatF H Al-Kawas
Apr 28, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Teng ZhangIan J Cook
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Jul 6, 2019·Gastroenterology Research and Practice·Patrick L StonerDavid S Estores
Mar 22, 2008·Gastrointestinal Endoscopy·Sushil K Ahlawat, Firas H Al-Kawas

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