PMID: 9531111Apr 8, 1998Paper

Esophageal dilation

The Gastroenterologist
Timothy T Nostrant, P S Nandi

Abstract

Esophageal dilation, a technique developed four centuries ago, continues to be an important method of treating the symptom of dysphagia in patients with luminal narrowing of the esophagus. Dilation is safe, with < 0.5% chance of perforation and bleeding and a 0.01% risk of death. Mercury bougienage (Maloney dilators), hollow polyvinyl dilators (Savary-Guillard), and balloon dilators (Through the Scope) are the principal types of dilators in use today. Few trials have compared the differing dilating methods. The results of these trials are mixed, and further randomized trials are necessary to determine if any technique has advantages in efficacy and cost. Although most patients successfully treated with dilation suffer with peptic strictures, those with nonpeptic strictures due to lower esophageal mucosal rings, corrosive injury, and radiation injury can also be treated effectively with dilation. By reviewing the current literature, effective treatment algorithms can be used with patients suffering from dysphagia due to various types of strictures.

Citations

Oct 9, 2004·Gastrointestinal Endoscopy·Michael SproatT Paulose George
Mar 1, 2000·Gastroenterology Clinics of North America·J E Richter
Jan 10, 2002·Journal of Clinical Gastroenterology·Waqar A Qureshi
Aug 13, 2002·Journal of Clinical Gastroenterology·Ronald J Lew, Michael L Kochman
Sep 10, 2003·Journal of Pediatric Gastroenterology and Nutrition·Paola CiamarraCarlo Di Lorenzo
Nov 3, 2001·European Journal of Gastroenterology & Hepatology·P KatsinelosT Souparis
Sep 28, 2007·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Elsa PiotetPhilippe Monnier
Dec 31, 2004·Current Treatment Options in Gastroenterology·Timothy T Nostrant

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