Plummer-Vinson syndrome surgery

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Plummer-Vinson syndrome Microchapters

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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]

References

  1. 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.
  2. 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.
  3. Lindgren S (1991). "Endoscopic dilatation and surgical myectomy of symptomatic cervical esophageal webs". Dysphagia. 6 (4): 235–8. PMID 1778103.