DILATION OF PROXIMAL ESOPHAGEAL STRICTURES FOLLOWING THERAPY FOR HEADAND NECK-CANCER - EXPERIENCE WITH SAVARY-GILLIARD DILATORS

Citation
V. Dhir et al., DILATION OF PROXIMAL ESOPHAGEAL STRICTURES FOLLOWING THERAPY FOR HEADAND NECK-CANCER - EXPERIENCE WITH SAVARY-GILLIARD DILATORS, Journal of surgical oncology, 63(3), 1996, pp. 187-190
Citations number
11
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery,Oncology
ISSN journal
0022-4790
Volume
63
Issue
3
Year of publication
1996
Pages
187 - 190
Database
ISI
SICI code
0022-4790(1996)63:3<187:DOPESF>2.0.ZU;2-8
Abstract
Background: There is Little information on dilation of proximal strict ures following surgical and/or radiation therapy for head and neck can cer. We studied the feasibility and efficacy of dilating proximal stri ctures following therapy for head and neck cancer using Savary Gilliar d dilators. Methods: Twenty-one consecutive patients with proximal str ictures resulting from surgery and/or radiation therapy of head and ne ck cancer were studied. Savary Gilliard dilation was performed using t he standard and a modified method. Dysphagia was graded before and aft er dilation using a 5-point scale. Results: Technical success, dysphag ia relief, complications, and duration of relief were noted. Technical success was achieved in 20 (95%) patients. Adequate dysphagia relief was obtained in 15/20 (75%) patients, which lasted for 4-36 weeks (med ian 14 weeks). There were no perforations, bleeding, or deaths. Four p atients required repeat dilation after a median interval of 12 weeks. Conclusions: Savary Gilliard dilation is a safe and effective method f or dilating strictures caused by therapy for head and neck cancer. (C) 1996 Wiley-Liss, Inc.