Fluoroscopically Guided Balloon Dilation of Benign Esophageal Strictures: Incidence of Esophageal Rupture and Its Management in 589 Patients

Fan, Yujing; Song, Ho Young; Kim, Jin Hyoung; Park, Jung Hoon; Ponnuswamy, Iyappan; Jung, Hwoon Yong; Kim, Yong Hee

doi:10.2214/ajr.11.6591

Cited by 24 publications

(29 citation statements)

References 25 publications

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“…We found that the total rupture rate secondary to balloon dilatation of benign oesophageal strictures in children was 17.1 %, which was similar to the rupture rate of 14.7 % in the general population [3]. The transmural rupture/perforation rate was 6.2 %, which is in the range of previously reported perforations (0.8-13 %) after balloon dilatation in the paediatric population [11,14].…”

Section: Discussionsupporting

confidence: 79%

“…One of the most serious complications associated with balloon dilatation is oesophageal rupture [2,3]. Early detection and appropriate treatment of ruptures are very important as delayed treatment can cause high morbidity and mortality [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Some authors have classified oesophageal ruptures following fluoroscopic balloon dilatation (FBD) into three types based on the leakage of contrast medium [6]. This classification has been proven to be feasible and effective in clinical practice, as several reports have shown that the ruptures were managed well according to the rupture types and that there were no procedure-related deaths [3,7,8]. However, this classification of rupture has not been specifically investigated in a large number of paediatric patients with various stricture causes.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that the rupture rate was related to the aetiology of the stricture [3,9]. Moreover, a long stricture or using an inadequate balloon catheter size is also believed to increase the risk of rupture [10,11].…”

Section: Introductionmentioning

confidence: 99%

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Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

et al. 2016

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

et al. 2016

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“…The number of sessions of endoscopic or fluoroscopic dilatation depends on the severity of the OS and symptoms [5]. The incidence of major complications such as oesophageal rupture has been reported to be as high as 14.7% following fluoroscopic dilation (with only a minority needing active management), whilst in endoscopic dilatation the incidence of oesophageal perforation is 0.1-0.4% [6,7]The aim of this study was to assess the causes of benign oesophageal stricture, its management and how to predict and prevent advanced stricture in young population.…”

Section: Introductionmentioning

confidence: 99%

Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It

Hussain¹

2013

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Abstract:Objectives: GORD is associated with benign oesophageal stricture. Endoscopic management of which is safe, effective and commonly applied. The aim of this study is to assess the causes of benign oesophageal stricture,the outcome of endoscopic management and to explore the literatures on ways of preventions. Patients and Methods: Data from our endoscopy unit was reviewed using unisoft software. Seventy -one patients who have been diagnosed with oesophageal strictures during March 2006-January 2012,were selected for this study. Twelve oesophageal cancers, 4 patients with achalasia and 6 patients with anastomotic stricture were excluded. The data was collected from case notes of the remaining forty-nine patients. Results: Forty-nine patients were diagnosed with symptomatic benign stricture due to reflux disease and inflammation (47 and 2 patients respectively). The age range was 38-92 (mean 59), 17(34.7%) women and 32(65.3%) men were included. 42(85.71%) patients underwent dilatation, of which 88.7% had 1-4 dilatations (mean of 2 dilatations). The remaining 14.28% (6 patients) had very tight strictures and each had 5-7 dilatations. One (2.04%) patient had anti-reflux surgery. Six (12.24%) patients were treated conservatively using proton pump inhibitors and they didn't need dilatation. There were 34 patients developed minor morbidities such as chest pain (11%); minor bleeding (15) and nausea (3%),no oesophageal perforation or other major complications were reported. Conclusions: Endoscopic dilatation for benign oesophageal stricture is a safe and an effective procedure. Follow up of younger patients are necessary to achieve satisfactory symptomatic relief and to prevent advanced and severe stricture developing at a later age.

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Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

et al. 2017

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Objective: To characterize the safety profile and effectiveness of esophageal dilation in head and neck cancer patients. Methods: A systematic review was undertaken for articles reporting outcomes of esophageal dilation in head and neck cancer patients. The Medline, Scopus, Web of Science, and Cochrane databases were searched in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Complications related to esophageal dilation in head and neck cancer patients was the primary outcome of interest. Success rates, demographic data, cancer staging, and treatment data were assessed secondarily. Statistical analyses included both qualitative and quantitative assessments. A limited metaanalysis and pooling of the data was performed using a random effects model.Results: Of the collective 8,243 initial candidate articles, 15 retrospective studies containing data for a collective 449 patients were ultimately included in the analysis. There was significant heterogeneity in the outcomes data. With an overall complication rate of 10.6% (95% confidence interval [CI]: 4.1%,17%) and a pooled success rate of 72.9% (95% CI: 65.7%,80.1%) per patient, the articles generally supported the use of dilation.Conclusion: Head and neck cancer patients experience a higher rate of complications following dilation compared to patients with other causes of benign stricture. Esophageal dilation is effective in improving dysphagia, but these benefits are often transient and thus necessitate repeat interventions.

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Fluoroscopically Guided Balloon Dilation of Benign Esophageal Strictures: Incidence of Esophageal Rupture and Its Management in 589 Patients

Cited by 24 publications

References 25 publications

Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

Incidence and management of oesophageal ruptures following fluoroscopic balloon dilatation in children with benign strictures

Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It

Esophageal dilation in head and neck cancer patients: A systematic review and meta‐analysis

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