Plummer-Vinson syndrome surgery: Difference between revisions
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{{Plummer-Vinson syndrome}} | {{Plummer-Vinson syndrome}} | ||
{{CMG}} | {{CMG}}; {{AE}}{{Akshun}} | ||
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==Overview== | ==Overview== | ||
Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. However, 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. 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> | |||
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 | ||
Revision as of 17:47, 30 October 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]
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Overview
Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. However, 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. Mechanical dilatation is usually reserved for patients with either:[1][2][3]
- 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.