Through-the-scope balloon dilation for endoscopic ultrasound staging of stenosing esophageal cancer

Brian C. Jacobson, Vanessa M. Shami, Douglas Orrick Faigel, Alberto Larghi, Michel Kahaleh, Charles Dye, Marcos Pedrosa, Irving Waxman

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Dilation of malignant esophageal strictures often is required to complete staging by endoscopic ultrasound (EUS). This study was designed to determine the successful dilation rate (ability to complete staging) and complication rate of through-the-scope (TTS) balloon dilation for malignant esophageal strictures during EUS. We retrospectively reviewed EUS reports for all cases of primary esophageal cancer staged at five centers between January 2002 and October 2004. All dilations were performed with TTS balloons. Among 272 endoscopic ultrasounds, dilation was required in 77 (28%) and was successful in 73 cases (95%). There was one esophageal perforation after dilation (1.3%; 95% confidence interval (CI), 0.2-7) and one esophageal perforation after EUS without dilation (0.5%; 95% CI, 0.1-2.8; P=0.48 by two-sided Fisher exact test). There were no other major complications. TTS balloon dilation is highly successful in permitting complete staging of obstructing tumors. The rate of complications after dilation with a TTS balloon dilator is low and similar to the baseline rate of EUS in this setting.

Original languageEnglish (US)
Pages (from-to)817-822
Number of pages6
JournalDigestive Diseases and Sciences
Volume52
Issue number3
DOIs
StatePublished - Mar 2007
Externally publishedYes

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Esophageal Neoplasms
Dilatation
Esophageal Perforation
Esophageal Stenosis
Confidence Intervals
Neoplasm Staging

Keywords

  • Esophageal cancer
  • Esophageal dilation
  • EUS
  • Staging

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Through-the-scope balloon dilation for endoscopic ultrasound staging of stenosing esophageal cancer. / Jacobson, Brian C.; Shami, Vanessa M.; Faigel, Douglas Orrick; Larghi, Alberto; Kahaleh, Michel; Dye, Charles; Pedrosa, Marcos; Waxman, Irving.

In: Digestive Diseases and Sciences, Vol. 52, No. 3, 03.2007, p. 817-822.

Research output: Contribution to journalArticle

Jacobson, Brian C. ; Shami, Vanessa M. ; Faigel, Douglas Orrick ; Larghi, Alberto ; Kahaleh, Michel ; Dye, Charles ; Pedrosa, Marcos ; Waxman, Irving. / Through-the-scope balloon dilation for endoscopic ultrasound staging of stenosing esophageal cancer. In: Digestive Diseases and Sciences. 2007 ; Vol. 52, No. 3. pp. 817-822.
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