Radiological balloon dilatation of post-treatment benign pharyngeal strictures

Lw, Williams; Kasir, D.; Penny, Steven M.; Homer, Jarrod J; Laasch, Hans-Ulrich

doi:10.1017/s0022215109990508

Cited by 10 publications

(10 citation statements)

References 14 publications

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“…Indeed, we encountered a single case with serious pharyngeal edema during the EBD procedure, and this patient had undergone radiotherapy for hypopharyngeal cancer. Second, technical success in EBD for pharyngo‐upper esophageal strictures does not necessarily lead to functional success, as described in previous studies . Actually, some degree of dysphagia remained, although improved, in the majority of our patients even after technically successful EBD.…”

Section: Discussionsupporting

confidence: 63%

“…Second, technical success in EBD for pharyngo-upper esophageal strictures does not necessarily lead to functional success, as described in previous studies. 6,21 Actually, some degree of dysphagia remained, although improved, in the majority of our patients even after technically successful EBD. This is in contrast with cases of EBD for middlelower esophageal strictures in which the absence of dysphagia was achieved in the majority of patients treated with EBD.…”

Section: Ysphagia Is a Major Complication After Treatmentmentioning

confidence: 58%

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Endoscopic balloon dilatation for pharyngo‐upper esophageal stricture after treatment of head and neck cancer

Maejima

Iijima

Koike

et al. 2014

Digestive Endoscopy

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This retrospective analysis demonstrated the efficacy and safety of exclusive EBD for pharyngo-upper esophageal strictures occurring after treatment for head and neck cancer, indicating that the therapeutic application of EBD could be extended to such strictures. Patients who underwent chemoradiotherapy and surgery experienced more restenosis; hence, such patients should be carefully followed up after EBD treatment.

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Section: Discussionsupporting

confidence: 63%

Section: Ysphagia Is a Major Complication After Treatmentmentioning

confidence: 58%

Endoscopic balloon dilatation for pharyngo‐upper esophageal stricture after treatment of head and neck cancer

Maejima

Iijima

Koike

et al. 2014

Digestive Endoscopy

View full text Add to dashboard Cite

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“…The included studies are summarized in Table . All studies were retrospective, and most reported outcomes of standard anterograde dilations using bougie or balloon dilators with or without guidewires.…”

Section: Resultsmentioning

confidence: 99%

“…The average patient age was 60 (range 21–89) years, and there was a near 3:1 male predominance (232:87, 73%:27%) . Cancer staging and treatment data were reported variably (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Although not always reported, patients routinely required repeat intervention (194 of 306, 63%), adding to the heterogeneity of the data . Collectively, each patient underwent a mean of three dilations (931 dilations of 306 patients = 3.04) . Of note, this rate varied significantly between studies, with Dellon reporting one dilation per patient and Francis reporting over 10 per patient on average …”

Section: Resultsmentioning

confidence: 99%

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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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Affective symptoms and swallow‐specific quality of life in total laryngectomy patients

et al. 2020

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Background: The aim of this study is to determine the prevalence of clinically relevant affective symptoms and level of swallow-specific quality of life (QoL) in dysphagic patients with total laryngectomy (TL) and to explore the relationship between affective symptoms and swallow-specific QoL. Methods: Thirty-five TL patients completed the Hospital Anxiety and Depression Scale (HADS) and the MD Anderson Dysphagia Inventory (MDADI). Student's t test and linear regression were used. Results: Eight (23%) patients showed clinically relevant symptoms of anxiety, 8 (23%) of depression, and 11 (31%) showed either one. These groups had significantly lower mean MDADI scores. One-point increase in HADS-anxiety or HADS-depression subscale score corresponds with a decrease of 2.7 or 3.0 points, on average, respectively, of the MDADI total score. Conclusions: Clinically relevant affective symptoms were present in approximately one-third of the TL patients. These preliminary results show that increased affective symptom scores correlate with a decreased swallow-specific QoL.

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Radiological balloon dilatation of post-treatment benign pharyngeal strictures

Abstract: Radiologically guided balloon dilatation is straightforward to perform and is well tolerated, but there is a small risk of perforation. Relief of symptoms is likely to be temporary, requiring multiple subsequent dilatations. A minority of patients will obtain no symptomatic relief.

Cited by 10 publications

References 14 publications

Endoscopic balloon dilatation for pharyngo‐upper esophageal stricture after treatment of head and neck cancer

Endoscopic balloon dilatation for pharyngo‐upper esophageal stricture after treatment of head and neck cancer

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

Affective symptoms and swallow‐specific quality of life in total laryngectomy patients

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