Affiliation:
1. Department of Medical Gastroenterology, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka
2. Department of General Medicine, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka
Abstract
Abstract
Aim: The aim was to investigate the use of Savary-Gilliard marked dilators in tight esophageal strictures without fluoroscopy. Materials and Methods: Four hundred and six patients with significant dysphagia from benign strictures due to a variety of causes were dilated endoscopically. Patients with achalasia, malignant lesions, and external compression were excluded. The procedure consisted of two parts. First, Savary-Gilliard or zebra 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 months. Results: One thousand and twenty-four dilatations sessions in a total of 408 patients were carried out. The success rate for placement of a guide wire was 100% and for dilatation 97% without the use of fluoroscopy, after 6 months–24 years of follow-up. The number of sessions per patient was between one and seven, with an average of three sessions. The ability of patients, after one or more sessions of dilatations to maintain a solid or semisolid diet for more than 12 months was obtained in 386 patients (95.8%). All patients improved clinically without complications after the endoscopic procedure without fluoroscopy, but we noted 22 failures. Conclusions: Dilatation (dilation) using Savary-Gilliard dilators without fluoroscopy are safe and effective in the treatment of very tight esophageal strictures if performed with care.
Subject
Gastroenterology,Radiology Nuclear Medicine and imaging
Reference16 articles.
1. Bennett JR, Hunt RH. Therapeutic Endoscopy and Radiology of the Gut. 2 nd ed. New York: Chapman and Hall Med; 1990. p. 19-20.
2. Cotton PB, Williams CP. Practical Gastrointestinal Endoscopy. 3 nd ed. Oxford: Blackwell Science Publishers; 1990. p. 59-61.
3. Geenen JE, Fleischer DE, Waye JD. Techniques in Therapeutic Endoscopy. 2 nd ed., Vol. 2. New York: Gower Medical Publishing; 1992. p. 9-11.
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