Esophageal therapeutic endoscopy, laser photocoagulation, and prosthesis

H. C. Wolfsen, R. A. Kozarek

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Endoscopic therapy is an established method of treatment for achalasia, benign esophageal strictures, and palliation of dysphagia due to malignancy. Endoscopic treatment options for these conditions include bougienage, balloon dilatation, injection therapy, laser treatment, and implantable endoprostheses. Recent comparative trials have yielded important information to better allow physicians to select the endoscopic treatment method best adapted to an individual clinical situation. Bougienage and balloon dilation have remained the treatment mainstays for benign strictures, whereas recent reports have added to the literature regarding steroid injection for difficult peptic or inflammatory strictures. The palliation of malignant dysphagia and treatment of esophageal fistulae have been revolutionized by the development of expandable metal stents. The efficacy and safety of pneumatic dilatation and Heller myotomy for achalasia continues to be demonstrated, but botulinum toxin injection and laparoscopic myotomy are also new treatment options. Publication of several large trials comparing endoscopic variceal sclerotherapy with band ligation plus more information regarding the use of transjugular intrahepatic portosystemic stent shunts and laparoscopic devascularization surgeries have helped clarify treatment of patients bleeding from esophageal varices.

Original languageEnglish (US)
Pages (from-to)351-358
Number of pages8
JournalCurrent Opinion in Gastroenterology
Volume11
Issue number4
StatePublished - 1995
Externally publishedYes

Fingerprint

Light Coagulation
Endoscopy
Prostheses and Implants
Lasers
Dilatation
Esophageal Achalasia
Therapeutics
Deglutition Disorders
Injections
Stents
Pathologic Constriction
Transjugular Intrahepatic Portasystemic Shunt
Esophageal Fistula
Esophageal Stenosis
Sclerotherapy
Botulinum Toxins
Esophageal and Gastric Varices
Laser Therapy
Laparoscopy
Ligation

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Esophageal therapeutic endoscopy, laser photocoagulation, and prosthesis. / Wolfsen, H. C.; Kozarek, R. A.

In: Current Opinion in Gastroenterology, Vol. 11, No. 4, 1995, p. 351-358.

Research output: Contribution to journalArticle

Wolfsen, H. C. ; Kozarek, R. A. / Esophageal therapeutic endoscopy, laser photocoagulation, and prosthesis. In: Current Opinion in Gastroenterology. 1995 ; Vol. 11, No. 4. pp. 351-358.
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