Endoscopic management of upper esophageal strictures after treatment of head and neck malignancy.

摘要: Background Dysphagia, usually due to proximal esophageal strictures, is a debilitating complication of therapy (surgery, radiotherapy, or chemotherapy) for head and neck malignancy. Scant attention has been given in the literature endoscopic management these strictures. Objective Our purpose was assess technical functional outcomes strictures after cancers. Design Retrospective case series. Setting Academic medical center. Patients Consecutive patients undergoing endoscopy dilation caused by chemoradiation surgery Main Outcome Measurement Technical success dilation. Results Twenty-four were included. The mean age 70.4 years (range 42 82 years). primary tumor site larynx 10 patients, oropharynx hypopharynx 4 upper esophagus other sites remainder. (a luminal diameter 42F greater) achieved 80% patients. Adequate dysphagia relief 84% whose stricture dilated at least up 42F. average follow-up 22 months 1-96 months). Repeat needed 58% No complications death occurred during study period. Limitations design highly selected patient population. Dysphagia assessment conjuction with speech pathologist not performed all may be applicable settings. Conclusion In this series, treatment malignancy amenable antegrade dilation; however, no our had complete lumen obstruction. dilations are often effective achieving maintaining adequate relief.