Abstract
Anastomotic upper gastrointestinal strictures in 32 patients were dilated on an outpatient basis. Strictures had developed following resection-anastomosis of the esophagus in 27, total esophagectomy in two and total/partial gastrectomy in three patients. Patients with benign anastomotic strictures (group A; n = 21) presented within 6 (median 2) months of surgery while those with recurrent tumors at the site of anastomosis (group B; n = 11) presented 7 (median 14) months later. Dilation using Savary-Gilliard (n = 24), through the scope balloon (n = 2) and Eder Puestow (n = 1) dilators or a combination of these (n = 1) was possible in 20 (95%) patients in group A and 8 (73%) patients in group B. All the 28 patients had relief of dysphagia. Median duration of response after first dilation was 4.2 and 1.2 months in groups A and B respectively. Nature of previous surgery, length of the remaining stomach and recurrence of tumor at anastomosis appeared to affect the technique and outcome of dilation. Savary-Gilliard dilators can be used in a majority of patients except those with short stomachs where through the scope balloon dilators may be preferred.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 16-18 |
| Number of pages | 3 |
| Journal | Indian Journal of Gastroenterology |
| Volume | 11 |
| Issue number | 1 |
| State | Published - Jan 1992 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Gastroenterology
Cite this
Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract. / Desai, D. C.; Vege, Santhi Swaroop; Mohandas, K. M.; Dhir, V.; Nagral, A.; Deshpande, R.; Desai, P. B.
In: Indian Journal of Gastroenterology, Vol. 11, No. 1, 01.1992, p. 16-18.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract.
AU - Desai, D. C.
AU - Vege, Santhi Swaroop
AU - Mohandas, K. M.
AU - Dhir, V.
AU - Nagral, A.
AU - Deshpande, R.
AU - Desai, P. B.
PY - 1992/1
Y1 - 1992/1
N2 - Anastomotic upper gastrointestinal strictures in 32 patients were dilated on an outpatient basis. Strictures had developed following resection-anastomosis of the esophagus in 27, total esophagectomy in two and total/partial gastrectomy in three patients. Patients with benign anastomotic strictures (group A; n = 21) presented within 6 (median 2) months of surgery while those with recurrent tumors at the site of anastomosis (group B; n = 11) presented 7 (median 14) months later. Dilation using Savary-Gilliard (n = 24), through the scope balloon (n = 2) and Eder Puestow (n = 1) dilators or a combination of these (n = 1) was possible in 20 (95%) patients in group A and 8 (73%) patients in group B. All the 28 patients had relief of dysphagia. Median duration of response after first dilation was 4.2 and 1.2 months in groups A and B respectively. Nature of previous surgery, length of the remaining stomach and recurrence of tumor at anastomosis appeared to affect the technique and outcome of dilation. Savary-Gilliard dilators can be used in a majority of patients except those with short stomachs where through the scope balloon dilators may be preferred.
AB - Anastomotic upper gastrointestinal strictures in 32 patients were dilated on an outpatient basis. Strictures had developed following resection-anastomosis of the esophagus in 27, total esophagectomy in two and total/partial gastrectomy in three patients. Patients with benign anastomotic strictures (group A; n = 21) presented within 6 (median 2) months of surgery while those with recurrent tumors at the site of anastomosis (group B; n = 11) presented 7 (median 14) months later. Dilation using Savary-Gilliard (n = 24), through the scope balloon (n = 2) and Eder Puestow (n = 1) dilators or a combination of these (n = 1) was possible in 20 (95%) patients in group A and 8 (73%) patients in group B. All the 28 patients had relief of dysphagia. Median duration of response after first dilation was 4.2 and 1.2 months in groups A and B respectively. Nature of previous surgery, length of the remaining stomach and recurrence of tumor at anastomosis appeared to affect the technique and outcome of dilation. Savary-Gilliard dilators can be used in a majority of patients except those with short stomachs where through the scope balloon dilators may be preferred.
UR - http://www.scopus.com/inward/record.url?scp=0026466396&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0026466396&partnerID=8YFLogxK
M3 - Article
C2 - 1551706
AN - SCOPUS:0026466396
VL - 11
SP - 16
EP - 18
JO - Indian Journal of Gastroenterology
JF - Indian Journal of Gastroenterology
SN - 0254-8860
IS - 1
ER -