Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2011 Dec 6;2(6):46-9.
doi: 10.4292/wjgpt.v2.i6.46.

Safety and outcome using endoscopic dilatation for benign esophageal stricture without fluoroscopy

Nawal Kabbaj  1 , Mouna Salihoun, Zakia Chaoui, Mohamed Acharki, Naïma Amrani
Affiliations

Safety and outcome using endoscopic dilatation for benign esophageal stricture without fluoroscopy

Nawal Kabbaj et al. World J Gastrointest Pharmacol Ther. .

Abstract

Aim: To investigate the use of Savary-Gilliard marked dilators in tight esophageal strictures without fluoroscopy.

Methods: Seventy-two patients with significant dysphagia from benign strictures due to a variety of causes were dilated endoscopically. Patients with achalasia, malignant lesions or external compression were excluded. The procedure consisted of two parts. First, a guide wire was placed through video endoscopy and then dilatation was performed without fluoroscopy. In general, "the rule of three" was followed. Effective treatment was defined as the ability of patients, with or without repeated dilatations, to maintain a solid or semisolid diet for more than 12 mo.

Results: Six hundred and sixty two dilatations in a total of 72 patients were carried out. The success rate for placement of a guide wire was 100% and for dilatation 97%, without use of fluoroscopy, after 6 mo to 4 years of follow-up. The number of sessions per patient was between 1 and 7, with an average of 2 sessions. The ability of patients, after 1 or more sessions of dilatation, to maintain a solid or semisolid diet for more than 12 mo was obtained in 70 patients (95.8%). For very tight esophageal strictures, all patients improved clinically without complications after the endoscopic procedure without fluoroscopy, but we noted 3 failures.

Conclusion: Dilatation using Savary-Gilliard dilators without fluoroscopy is safe and effective in the treatment of very tight esophageal strictures if performed with care.

Keywords: Dilatation; Esophageal benign strictures; Outcome; Results; Savary-Gilliard dilators.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Savary-Gilliard dilatators.
Figure 2
Figure 2
Peptic injury stricture (A) and Plummer-Vinson web (B).
See this image and copyright information in PMC

References

    1. Siersema PD. Treatment options for esophageal strictures. Nat Clin Pract Gastroenterol Hepatol. 2008;5:142–152. - PubMed
    1. Wang YG, Tio TL, Soehendra N. Endoscopic dilation of esophageal stricture without fluoroscopy is safe and effective. World J Gastroenterol. 2002;8:766–768. - PMC - PubMed
    1. Cotton PB, Williams CP. Pratical gastrointestinal endoscopy. 3nd ed. Oxford: Blackwell Sci Pub; 1990. pp. 59–61.
    1. Geenen JE, Fleischer DE, Waye JD. Techniques in therapeutic endoscopy. 2nd ed. New York: Gower Med Pub; 1992. pp. 2: 9–11.
    1. Bennett JR, Hunt RH. Therapeutic endoscopy and radiology of the gut. 2nd ed. New York: Chapman and Hall Med; 1990. pp. 19–20.