Plummer-Vinson syndrome surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Plummer-Vinson syndrome}} | {{Plummer-Vinson syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{Akshun}} | ||
==Overview== | |||
[[Surgery]] is not the first-line treatment option for patients with Plummer-Vinson syndrome. However, procedure such as mechanical [[dilatation]] with the use of an [[endoscope]] may be used in patients who are unresponsive to medical [[therapy]], have multiple obstructive [[esophageal webs]] and long-standing [[dysphagia]]. | |||
==Surgery== | ==Surgery== | ||
[[Surgery]] is not the first-line treatment option for patients with Plummer-Vinson syndrome. Mechanical [[dilatation]] with the use of an [[endoscope]] may be used to disrupt [[esophageal webs]] and allow normal [[swallowing]] and passage of [[food]]. In addition, needle-knife electro [[incision]] may be used as an alternative to [[endoscopic]] [[dilation]]. Mechanical [[dilatation]] is usually reserved for patients with either:<ref name="pmid18031398">{{cite journal |author=Enomoto M, Kohmoto M, Arafa UA, ''et al'' |title=Plummer-Vinson syndrome successfully treated by endoscopic dilatation |journal=J. Gastroenterol. Hepatol. |volume=22 |issue=12 |pages=2348–51 |year=2007 |pmid=18031398 |doi=10.1111/j.1440-1746.2006.03430.x |url=http://www.blackwell-synergy.com/openurl?genre=article&sid=nlm:pubmed&issn=0815-9319&date=2007&volume=22&issue=12&spage=2348}}</ref><ref name="pmid7644644">{{cite journal |vauthors=Huynh PT, de Lange EE, Shaffer HA |title=Symptomatic webs of the upper esophagus: treatment with fluoroscopically guided balloon dilation |journal=Radiology |volume=196 |issue=3 |pages=789–92 |year=1995 |pmid=7644644 |doi=10.1148/radiology.196.3.7644644 |url=}}</ref><ref name="pmid1778103">{{cite journal |vauthors=Lindgren S |title=Endoscopic dilatation and surgical myectomy of symptomatic cervical esophageal webs |journal=Dysphagia |volume=6 |issue=4 |pages=235–8 |year=1991 |pmid=1778103 |doi= |url=}}</ref><ref name="pmid26502163">{{cite journal |vauthors=Butori M, Mahmoudi S, Dugelay-Ecochard E, Belarbi N, Bellaïche M, Hugot JP, Viala J |title=Plummer-Vinson Syndrome in Children |journal=J. Pediatr. Gastroenterol. Nutr. |volume=61 |issue=5 |pages=547–52 |year=2015 |pmid=26502163 |doi=10.1097/MPG.0000000000000842 |url=}}</ref> | |||
Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. Mechanical dilatation with the use of an endoscope may be used to disrupt | *Long-standing [[dysphagia]] | ||
*Long-standing dysphagia | *Multiple obstructive [[esophageal webs]] | ||
*Multiple obstructive esophageal webs | *Patients unresponsive to [[medical]] [[therapy]] | ||
*Patients unresponsive to medical therapy | |||
==References== | ==References== | ||
Latest revision as of 19:47, 6 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]
Overview
Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. However, procedure such as mechanical dilatation with the use of an endoscope may be used in patients who are unresponsive to medical therapy, have multiple obstructive esophageal webs and long-standing dysphagia.
Surgery
Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. Mechanical dilatation with the use of an endoscope may be used to disrupt esophageal webs and allow normal swallowing and passage of food. In addition, needle-knife electro incision may be used as an alternative to endoscopic dilation. Mechanical dilatation is usually reserved for patients with either:[1][2][3][4]
- Long-standing dysphagia
- Multiple obstructive esophageal webs
- Patients unresponsive to medical therapy
References
- ↑ Enomoto M, Kohmoto M, Arafa UA; et al. (2007). "Plummer-Vinson syndrome successfully treated by endoscopic dilatation". J. Gastroenterol. Hepatol. 22 (12): 2348–51. doi:10.1111/j.1440-1746.2006.03430.x. PMID 18031398.
- ↑ Huynh PT, de Lange EE, Shaffer HA (1995). "Symptomatic webs of the upper esophagus: treatment with fluoroscopically guided balloon dilation". Radiology. 196 (3): 789–92. doi:10.1148/radiology.196.3.7644644. PMID 7644644.
- ↑ Lindgren S (1991). "Endoscopic dilatation and surgical myectomy of symptomatic cervical esophageal webs". Dysphagia. 6 (4): 235–8. PMID 1778103.
- ↑ Butori M, Mahmoudi S, Dugelay-Ecochard E, Belarbi N, Bellaïche M, Hugot JP, Viala J (2015). "Plummer-Vinson Syndrome in Children". J. Pediatr. Gastroenterol. Nutr. 61 (5): 547–52. doi:10.1097/MPG.0000000000000842. PMID 26502163.