Dilation Therapy of Upper Esophageal Webs in Two Cases of Plummer-Vinson Syndrome

Ar, Beyler; Yurdaydın, Cihan; Bahar, Kadir; Gören, Ali; Soykan, İrfan; Uzunalımoǧlu, Özden

doi:10.1055/s-2007-1005446

Cited by 16 publications

(13 citation statements)

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“…10 Endoscopic dilatation is the procedure of choice for treating esophageal webs. 31,32 In our case, dilatation of the esophageal web was done using cuffed endotracheal tube under general anesthesia. 33 This is the first time reported in literature where esophageal web dilatation using cuffed endotracheal tube has been done although balloon dilatation has already been reported.…”

Section: Discussionmentioning

confidence: 93%

“…18 Patients with choking and aspirations need dilatation therapy along with iron supplementation. 31,32 The prognosis of this condition is good as anemia and dysphagia can be effectively treated by iron therapy and the webs by dilatation. 2 The prognosis worsens dramatically if the syndrome is associated with complications like squamous cell carcinomas of hypopharynx and upper esophagus.…”

Section: Discussionmentioning

confidence: 99%

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A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

Mc¹,

Appaji²,

Ravishankara³

et al. 2011

International Journal of Head and Neck Surgery

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Background/objectives: Plummer-Vinson syndrome also known as sideropenic dysphagia is a disease characterized by chronic iron-deficiency anemia, dysphagia and esophageal web. It commonly affects white female in the 4th to 7th decade. Most of the dysphagia and iron deficiency can be treated by iron supplementation and rarely web dilatation is needed. Setting:Case report: A 36-year-old female with dysphagia of 10 months and iron-deficiency anemia with a small upper esophageal web seen on upper GI endoscopy and barium swallow.Intervention: Conservative line of management with blood transfusion and dilatation of the web with cuffed endotracheal tube.Results: A good symptomatic and radiological improvement was seen after blood transfusion and web dilatation with cuffed endotracheal tube.Conclusion: Cuffed endotracheal tube dilatation is a better way of managing upper esophageal webs with minimal complications under general anesthesia.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

Mc¹,

Appaji²,

Ravishankara³

et al. 2011

International Journal of Head and Neck Surgery

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“…1 However, there have been instances where the patients did not respond to iron therapy and eventually required endoscopic dilatation or incision for the treatment of dysphagia. [2][3][4] The occurrence of post cricoid web is a risk factor for the development of squamous cell carcinoma of gastrointestinal tract. 5 In cases of haemorrhoids, a rapid correction of anaemia has been noticed with hemorrhoidectomy.…”

Section: Discussionmentioning

confidence: 99%

Occult Plummer Vinson syndrome in a patient with haemorrhoids

Manappallil

Supreeth

2017

Asian J Med Sci

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Plummer Vinson syndrome is a rare condition characterised by the triad of dysphagia,irondeficiency anaemia,and upper oesophageal webs. This is a case of a middle aged lady who presented with fatigue and was diagnosed to have iron deficiency anaemia. She did not have any complaints of dysphagia. On endoscopic evaluation she was found to have post cricoid web and haemorrhoids. Since post cricoid webs can complicate to squamous cell carcinoma of gastrointestinal tract, this case highlights the importance of endoscopic evaluation of all patients presenting with severe iron deficiency anaemia even in the absence of dysphagia, to rule out occult Plummer Vinson syndrome.Asian Journal of Medical Sciences Vol.8(3) 2017 81-83

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“…En cas de persistance de la dysphagie malgré le traitement martial, une simple défloration de la membrane oesophagienne par l'endoscope pourrait suffire dans les formes non obstructives et non sévè-res. Dans les autres cas, c'est-à-dire en présence d'un anneau obstructif et en cas d'échec d'un traitement médical, une dilatation endoscopique est requise [7][8][9][10]. Cette dilatation pourrait être réalisée par un ballonnet [10] ou par des bougies [8] comme dans notre série.…”

Section: Discussionunclassified

Syndrome de Plumer-Vinson traité par une dilatation endoscopique: une série de neuf cas

et al. 2011

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Le syndrome de Plummer-Vinson (SPV) ou de Kelly-Patterson, caractérisé par une dysphagie, une anémie hyposidérémique et un diaphragme sur l'oesophage cervical est extrêmement rare de nos jours. Bien que la correction de la sidéropénie pourrait améliorer ces symptômes, la dilatation endoscopique du diaphragme oesophagien associé est parfois nécessaire. Nous rapportons une série de neuf cas de SPV traités par dilatation endoscopique. Toutes les patientes avaient une histoire d'anémie et une dysphagie d'installation et d'aggravation progressive. La biologie a montré une anémie hypochrome, microcytaire et sidéropinique dans tous les cas. La fibroscopie oesogastroduodénale a montré un diaphragme au niveau de la région sous cricoïdienne. Toutes les patientes ont reçu un traitement substitutif en fer associé à une dilation endoscopique par des bougies de Savary (diamètre de 7 à 14 mm). Le diaphragme a été facilement détruit sans aucune complication. Cette dilatation a permis une disparition rapide de la dysphagie. Cependant, trois patientes ont présenté une récidive de la dysphagie associée à l'anémie. Ces patientes ont été retraitées avec sucées par une autre séance de dilatation endoscopique. Toutes les patientes ont été surveillées régulièrement avec une bonne évolution après un recul de 46 mois en moyenne. Notre expérience démontre que la dilatation endoscopique au cours du SPV est efficace, bien tolérée et relativement facile. Cependant, plusieurs séances sont parfois nécessaires Pour citer cette revue : Acta Endosc. 41 (2011). Mots clés Syndrome de Plummer-Vinson · Dysphagie · Diaphragme oesophagien · Dilatation endoscopiqueAbstract Plummer-Vinson (Paterson-Brown-Kelly) syndrome, characterized by iron-deficiency anemia, upper esophageal webs, and dysphagia, is extremely uncommon nowadays. Although iron repletion improves its symptoms, endoscopic dilatation of associated esophageal webs is sometimes required. We report nine cases of PlummerVinson syndrome that were successfully treated by endoscopic dilatation. All patients had a history of anemia and slowly progressive dysphagia of solid food. Hematological tests showed iron deficiency anemia. Upper gastrointestinal endoscopy showed the presence of a web in the subcricoid region. All patients were treated with esophageal bougienage, and iron supplementation. Endoscopic bougienage was performed with the use of Celestin dilators of serially increasing diameters. The webs were easily disrupted without complications. The patient's dysphagia resolved shortly after the treatment. However, three patients had a recurrence of dysphagia associated with anemia within an average of 8.3 months. These patients were successfully treated by a second endoscopic dilatation. All patients were examined periodically after the initial treatment and found to be in good general condition. This experience indicates that endoscopic dilatation is safe, effective, and relatively easy to perform in patients with Plummer-Vinson syndrome, although several sessions are sometimes necessary. To ci...

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Dilation Therapy of Upper Esophageal Webs in Two Cases of Plummer-Vinson Syndrome

Cited by 16 publications

References 0 publications

A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

Occult Plummer Vinson syndrome in a patient with haemorrhoids

Syndrome de Plumer-Vinson traité par une dilatation endoscopique: une série de neuf cas

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