Esophageal stricture procedure: Difference between revisions
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{{Esophageal stricture}} | {{Esophageal stricture}} | ||
{{CMG}};{{AE}}{{MA}} [mailto:malihash@bidmc.harvard.edu] [mailto:malihash@bidmc.harvard.edu] | {{CMG}};{{AE}}{{MA}} [mailto:malihash@bidmc.harvard.edu] [mailto:malihash@bidmc.harvard.edu] [mailto:malihash@bidmc.harvard.edu] | ||
==Overview== | ==Overview== | ||
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=== Dilators === | === Dilators === | ||
There are two main forms of dilation including: | There are two main forms of dilation including:<ref name="pmid156250373">{{cite journal |vauthors=Nostrant TT |title=Esophageal Dilation / Dilators |journal=Curr Treat Options Gastroenterol |volume=8 |issue=1 |pages=85–95 |year=2005 |pmid=15625037 |doi= |url=}}</ref><ref name="pmid156250374">{{cite journal |vauthors=Nostrant TT |title=Esophageal Dilation / Dilators |journal=Curr Treat Options Gastroenterol |volume=8 |issue=1 |pages=85–95 |year=2005 |pmid=15625037 |doi= |url=}}</ref><ref name="pmid7818628">{{cite journal |vauthors=Cox JG, Winter RK, Maslin SC, Dakkak M, Jones R, Buckton GK, Hoare RC, Dyet JF, Bennett JR |title=Balloon or bougie for dilatation of benign esophageal stricture? |journal=Dig. Dis. Sci. |volume=39 |issue=4 |pages=776–81 |year=1994 |pmid=7818628 |doi= |url=}}</ref> | ||
* Mechanical dilator (bougie) that can be done with | * Mechanical dilator (bougie) that can be done with | ||
** Guidewire such as savary-gilliard and eder-puestow olive dilators | ** Guidewire such as savary-gilliard and eder-puestow olive dilators | ||
** Nonguidewire such as maloney and hurst dilator | ** Nonguidewire such as maloney and hurst dilator | ||
* Balloon dilators | * Balloon dilators | ||
The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. <ref name="pmid15625037" /> | |||
*[[Caustic (substance)|Caustic]] strictures | |||
*[[Radiation]] stricture | |||
*Eosinophilic esophagitis due to increased risk of perforation | |||
*[[Bleeding disorders]] | |||
*Severe [[cardiovascular]] disease or [[pulmonary]] disease | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 13:59, 8 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2] [3] [4] [5]
Overview
Esophageal stricture procedure
The most common cause of esophageal stricture is gastroesophageal reflux disease. Treatment for esophageal stricture is combination of dilation and proton pump inhibitors or H2 antagonist therapy.[1]
- The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. [2]
- Caustic strictures
- Radiation stricture
- Eosinophilic esophagitis due to increased risk of perforation
- Bleeding disorders
- Severe cardiovascular disease or pulmonary disease
Interventions for treatment of esophageal strictures include:
- Dilators
- Stents
- Brachytherapy
Dilators
There are two main forms of dilation including:[3][4][5]
- Mechanical dilator (bougie) that can be done with
- Guidewire such as savary-gilliard and eder-puestow olive dilators
- Nonguidewire such as maloney and hurst dilator
- Balloon dilators
The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. [2]
- Caustic strictures
- Radiation stricture
- Eosinophilic esophagitis due to increased risk of perforation
- Bleeding disorders
- Severe cardiovascular disease or pulmonary disease
References
- ↑ Smith PM, Kerr GD, Cockel R, Ross BA, Bate CM, Brown P, Dronfield MW, Green JR, Hislop WS, Theodossi A (1994). "A comparison of omeprazole and ranitidine in the prevention of recurrence of benign esophageal stricture. Restore Investigator Group". Gastroenterology. 107 (5): 1312–8. PMID 7926495.
- ↑ 2.0 2.1 Nostrant TT (2005). "Esophageal Dilation / Dilators". Curr Treat Options Gastroenterol. 8 (1): 85–95. PMID 15625037.
- ↑ Nostrant TT (2005). "Esophageal Dilation / Dilators". Curr Treat Options Gastroenterol. 8 (1): 85–95. PMID 15625037.
- ↑ Nostrant TT (2005). "Esophageal Dilation / Dilators". Curr Treat Options Gastroenterol. 8 (1): 85–95. PMID 15625037.
- ↑ Cox JG, Winter RK, Maslin SC, Dakkak M, Jones R, Buckton GK, Hoare RC, Dyet JF, Bennett JR (1994). "Balloon or bougie for dilatation of benign esophageal stricture?". Dig. Dis. Sci. 39 (4): 776–81. PMID 7818628.