Plummer-Vinson syndrome surgery: Difference between revisions
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==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 [[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> | ||
*Long-standing [[dysphagia]] | *Long-standing [[dysphagia]] | ||
*Multiple obstructive [[esophageal webs]] | *Multiple obstructive [[esophageal webs]] | ||
Revision as of 14:39, 1 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, 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]
- 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.