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学科主题: 临床医学
题名:
Endoscopic dilation of esophageal stricture without fluoroscopy is safe and effective
作者: Wang, YG; Tio, TL; Soehendra, N
刊名: WORLD JOURNAL OF GASTROENTEROLOGY
发表日期: 2002-08-01
卷: 8, 期:4, 页:766-768
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Gastroenterology & Hepatology
研究领域[WOS]: Gastroenterology & Hepatology
英文摘要:

AIM: Endoscopic dilation of esophageal strictures is a commonly performed procedure in the management of dysphagia. The procedure is usually done with fluoroscopic guidance. The aim of this study was to assess the use of Tracer guide wire in conjunction with Savary-Gilliard dilators in the dilation of tight esophageal strictures without fluoroscopy.

METHODS: Fifty-five patients with significant dysphagia from strictures due to a variety of causes were dilated endoscopically. The procedure consisted of two parts. First, a guidewire was passed using endoscopic guidance, and then, dilation was performed without fluoroscopy. A modified Tracer wire was employed and was particularly effective in negotiating very tight esophageal strictures, in which the lumen is less than 6 mm. In general, the ′Rule of Three" and "2-3 sessions in 10 days, maximum dilation up to 42 French" rules were followed. 401 dilations in a total of 55 patients(malignant strictures 30, benign 25) in 177 sessions were carried out.

RESULTS: The guide wire placement and Savary-Gilliard dilation were successfully performed without fluoroscopy, and improvement of dysphagia was achieved in all patients. Esophageal plastic stent (out diameter 40 French) was placed in five patients with malignant stricture-three of them with tracheo-esophageal fistula.

CONCLUSION: Dilation using Tracer guide wire without fluoroscopy is safe and effective in treatment of even very tight esophageal strictures.

语种: 英语
WOS记录号: WOS:000177562800036
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55825
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Dept Endoscop Surg, Beijing 100034, Peoples R China
2.Georgetown Univ Hosp, Dept Med, Div GI, Washington, DC 20007 USA
3.Univ Hamburg, Hosp Eppendorf, Dept Interdisciplinary Endoscopy, D-20246 Hamburg, Germany

Recommended Citation:
Wang, YG,Tio, TL,Soehendra, N. Endoscopic dilation of esophageal stricture without fluoroscopy is safe and effective[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2002,8(4):766-768.
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