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. Surgery is usually reserved for patients with either: | 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 the esophageal webs and allow normal swallowing and passage of food. Surgery 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 | ||
*Patients unresponsive to medical therapy | *Patients unresponsive to medical therapy | ||
==References== | ==References== |
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Overview
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 the esophageal webs and allow normal swallowing and passage of food. Surgery 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.