Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract.

D. C. Desai, Santhi Swaroop Vege, K. M. Mohandas, V. Dhir, A. Nagral, R. Deshpande, P. B. Desai

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 languageEnglish (US)
Pages (from-to)16-18
Number of pages3
JournalIndian Journal of Gastroenterology
Volume11
Issue number1
StatePublished - Jan 1992
Externally publishedYes

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Upper Gastrointestinal Tract
Dilatation
Pathologic Constriction
Outpatients
Stomach
Esophagectomy
Gastrectomy
Deglutition Disorders
Esophagus
Neoplasms
Recurrence

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Desai, D. C., Vege, S. S., Mohandas, K. M., Dhir, V., Nagral, A., Deshpande, R., & Desai, P. B. (1992). Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract. Indian Journal of Gastroenterology, 11(1), 16-18.

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 journalArticle

Desai, DC, Vege, SS, Mohandas, KM, Dhir, V, Nagral, A, Deshpande, R & Desai, PB 1992, 'Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract.', Indian Journal of Gastroenterology, vol. 11, no. 1, pp. 16-18.
Desai DC, Vege SS, Mohandas KM, Dhir V, Nagral A, Deshpande R et al. Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract. Indian Journal of Gastroenterology. 1992 Jan;11(1):16-18.
Desai, D. C. ; Vege, Santhi Swaroop ; Mohandas, K. M. ; Dhir, V. ; Nagral, A. ; Deshpande, R. ; Desai, P. B. / Outpatient dilation of anastomotic strictures of the upper gastrointestinal tract. In: Indian Journal of Gastroenterology. 1992 ; Vol. 11, No. 1. pp. 16-18.
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