Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators

Vinay Dhir, Santhi Swaroop Vege, K. M. Mohandas, Devendra C. Desai

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Background: There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators. Methods: Twenty-one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5- point scale. Results: Technical success, dysphagia relief, complications, and duration of relief were noted. Technical success was achieved in 20 (95%) patients. Adequate dysphagia relief was obtained in 15/20 (75%) patients, which lasted for 4-36 weeks (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks. Conclusions: Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer.

Original languageEnglish (US)
Pages (from-to)187-190
Number of pages4
JournalJournal of Surgical Oncology
Volume63
Issue number3
DOIs
StatePublished - Nov 1 1996

Keywords

  • dysphagia
  • endoscopy
  • hypopharyngeal cancer

ASJC Scopus subject areas

  • Surgery
  • Oncology

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