Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators

作者: Vinay Dhir , Santhi Swaroop Vege , K. M. Mohandas , Devendra C. Desai

DOI: 10.1002/(SICI)1096-9098(199611)63:3<187::AID-JSO10>3.0.CO;2-2

关键词:

摘要: Background There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility efficacy dilating cancer using Savary Gilliard dilators. Methods Twenty-one consecutive patients with resulting from surgery were studied. was performed standard a modified method. Dysphagia graded before after 5-point scale. Results Technical success, dysphagia relief, complications, duration relief noted. Technical success achieved in 20 (95%) patients. Adequate obtained 15/20 (75%) patients, which lasted 4–36 weeks (median 14 weeks). There no perforations, bleeding, or deaths. Four required repeat median interval 12 weeks. Conclusions Savary safe effective method caused by © 1996 Wiley-Liss, Inc.

参考文章(11)
Michael B. Kronenberger, Arlen D. Meyers, Dysphagia following head and neck cancer surgery Dysphagia. ,vol. 9, pp. 236- 244 ,(1994) , 10.1007/BF00301917
V.Santhi Swaroop, Devendra C. Desai, K.M. Mohandas, V. Dhir, U.R. Dave, R.I. Gulla, K.A. Dinshaw, R.K. Deshpande, P.B. Desai, Dilation of esophageal strictures induced by radiation therapy for cancer of the esophagus Gastrointestinal Endoscopy. ,vol. 40, pp. 311- 315 ,(1994) , 10.1016/S0016-5107(94)70062-1
Richard A. Kozarek, Proximal strictures of the esophagus Journal of Clinical Gastroenterology. ,vol. 6, pp. 505- 511 ,(1984) , 10.1097/00004836-198412000-00004
K. M. Mohandas, V. Santhi Swaroop, D. C. Desai, Dilation of difficult gastrointestinal strictures using a modified wire-guided technique Endoscopy. ,vol. 27, pp. 446- 448 ,(1995) , 10.1055/S-2007-1005740
Richard Earlam, J. R. Cunha-Melo, Benign oesophageal strictures: Historical and technical aspects of dilatation British Journal of Surgery. ,vol. 68, pp. 829- 836 ,(2005) , 10.1002/BJS.1800681202
Richard B. Davis, Anthony J. Yonkers, Barbara B. Heywood, Jene Fritz, Effects of a soluble fraction of porcine tissue on the aggregation of human blood platelets Laryngoscope. ,vol. 92, pp. 674- 677 ,(1982) , 10.1002/LARY.1982.92.6.674
Alan B. Tulman, H. Worth Boyce, Complications of esophageal dilation and guidelines for their prevention Gastrointestinal Endoscopy. ,vol. 27, pp. 229- 234 ,(1981) , 10.1016/S0016-5107(81)73230-9
R. KIM DAVIS, STANLEY M. SHAPSHAY, MIRIAM E. VINCENT, M. STUART STRONG, The anatomy and complications of "T" versus vertical closure of the hypopharynx after laryngectomy. Laryngoscope. ,vol. 92, pp. 16- 22 ,(1982) , 10.1288/00005537-198201000-00004
L. D. Sanghvi, D. N. Rao, S. Joshi, Epidemiology of head and neck cancers. Seminars in Surgical Oncology. ,vol. 5, pp. 305- 309 ,(1989) , 10.1002/SSU.2980050503
Timothy T. K. Jung, George L. Adams, Dysphagia in laryngectomized patients. Otolaryngology-Head and Neck Surgery. ,vol. 88, pp. 25- 33 ,(1980) , 10.1177/019459988008800109