Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators
Background There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators. Methods T...
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| Veröffentlicht in: | Journal of surgical oncology 1996-11, Vol.63 (3), p.187-190 |
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| container_title | Journal of surgical oncology |
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| creator | Dhir, Vinay Vege, Santhi Swaroop Mohandas, K. M. Desai, Devendra C. |
| description | Background
There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators.
Methods
Twenty‐one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5‐point scale.
Results
Technical success, dysphagia 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 (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks.
Conclusions
Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer. © 1996 Wiley‐Liss, Inc. |
| doi_str_mv | 10.1002/(SICI)1096-9098(199611)63:3<187::AID-JSO10>3.0.CO;2-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_78578545</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78578545</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4300-c702f93b7c25bf039a7d513b515254cc25906eab10e60f7c564b46b8e079beb03</originalsourceid><addsrcrecordid>eNqFkV1v0zAUhiMEGmXwE5B8gdB2kXIcO3FdPqStG6UwUaTyIXFz5DhOa5YmnZ3S9oq_jkOr3oCEZMn2Ofbj1-8bRa8p9ClA8uJsNhlNzinILJYgB2dUyozS84wN2Ss6EMPhxeQqfj-bUnjD-tAfTV8mcXIv6h1v3I96gZPEXEh4GD3y_gcABAg_iU4GknPIeC_6dWUr1dqmJk1JVq7Z2qWqiPHNaqHmJix966xu1854UjZV1WxsPSftwji12oWKIwujCqLqgtRG3xKtam3ckFxvV8ZZEzZkY9sF8eqncjsyt1VllStI0T3bOP84elCqypsnh_k0-vL2-vPoXXwzHU9GFzex5gwg1gKSUrJc6CTNS2BSiSKlLE9pmqRch6qEzKicgsmgFDrNeM6zfGBAyNzkwE6j53tu-OPd2vgWl9ZrU1WqNs3aoxikYfCUHQVo13jvTIkrFzxxO6SAXTCIXTDY2YydzbgPBjOGDEMwiCEY_BNMKACOpphgErhPDwLW-dIUR-ohidB_dugrr1VVumCk9cdjSQqCs07e1_2xja3M7i9t_5H2L2X7QgDHe7D1rdkewcrdYiaYSPHbxzFK-oFezr6P8RP7DTi4xmw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78578545</pqid></control><display><type>article</type><title>Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators</title><source>MEDLINE</source><source>Wiley Journals</source><creator>Dhir, Vinay ; Vege, Santhi Swaroop ; Mohandas, K. M. ; Desai, Devendra C.</creator><creatorcontrib>Dhir, Vinay ; Vege, Santhi Swaroop ; Mohandas, K. M. ; Desai, Devendra C.</creatorcontrib><description>Background
There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators.
Methods
Twenty‐one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5‐point scale.
Results
Technical success, dysphagia 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 (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks.
Conclusions
Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer. © 1996 Wiley‐Liss, Inc.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/(SICI)1096-9098(199611)63:3<187::AID-JSO10>3.0.CO;2-2</identifier><identifier>PMID: 8944064</identifier><identifier>CODEN: JSONAU</identifier><language>eng</language><publisher>New York: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Constriction, Pathologic - etiology ; Constriction, Pathologic - therapy ; Deglutition Disorders - etiology ; Deglutition Disorders - therapy ; Dilatation - instrumentation ; Diseases of the upper aerodigestive tract ; dysphagia ; endoscopy ; Ent and stomatology ; Esophagus - pathology ; Esophagus - radiation effects ; Female ; Follow-Up Studies ; Head and Neck Neoplasms - radiotherapy ; Head and Neck Neoplasms - surgery ; Head and Neck Neoplasms - therapy ; Humans ; hypopharyngeal cancer ; Male ; Medical sciences ; Middle Aged ; Radiotherapy, Adjuvant ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Treatment Outcome</subject><ispartof>Journal of surgical oncology, 1996-11, Vol.63 (3), p.187-190</ispartof><rights>Copyright © 1996 Wiley‐Liss, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c4300-c702f93b7c25bf039a7d513b515254cc25906eab10e60f7c564b46b8e079beb03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2F%28SICI%291096-9098%28199611%2963%3A3%3C187%3A%3AAID-JSO10%3E3.0.CO%3B2-2$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2F%28SICI%291096-9098%28199611%2963%3A3%3C187%3A%3AAID-JSO10%3E3.0.CO%3B2-2$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2507435$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8944064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dhir, Vinay</creatorcontrib><creatorcontrib>Vege, Santhi Swaroop</creatorcontrib><creatorcontrib>Mohandas, K. M.</creatorcontrib><creatorcontrib>Desai, Devendra C.</creatorcontrib><title>Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators</title><title>Journal of surgical oncology</title><addtitle>J. Surg. Oncol</addtitle><description>Background
There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators.
Methods
Twenty‐one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5‐point scale.
Results
Technical success, dysphagia 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 (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks.
Conclusions
Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer. © 1996 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Constriction, Pathologic - etiology</subject><subject>Constriction, Pathologic - therapy</subject><subject>Deglutition Disorders - etiology</subject><subject>Deglutition Disorders - therapy</subject><subject>Dilatation - instrumentation</subject><subject>Diseases of the upper aerodigestive tract</subject><subject>dysphagia</subject><subject>endoscopy</subject><subject>Ent and stomatology</subject><subject>Esophagus - pathology</subject><subject>Esophagus - radiation effects</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Head and Neck Neoplasms - therapy</subject><subject>Humans</subject><subject>hypopharyngeal cancer</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy, Adjuvant</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Treatment Outcome</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV1v0zAUhiMEGmXwE5B8gdB2kXIcO3FdPqStG6UwUaTyIXFz5DhOa5YmnZ3S9oq_jkOr3oCEZMn2Ofbj1-8bRa8p9ClA8uJsNhlNzinILJYgB2dUyozS84wN2Ss6EMPhxeQqfj-bUnjD-tAfTV8mcXIv6h1v3I96gZPEXEh4GD3y_gcABAg_iU4GknPIeC_6dWUr1dqmJk1JVq7Z2qWqiPHNaqHmJix966xu1854UjZV1WxsPSftwji12oWKIwujCqLqgtRG3xKtam3ckFxvV8ZZEzZkY9sF8eqncjsyt1VllStI0T3bOP84elCqypsnh_k0-vL2-vPoXXwzHU9GFzex5gwg1gKSUrJc6CTNS2BSiSKlLE9pmqRch6qEzKicgsmgFDrNeM6zfGBAyNzkwE6j53tu-OPd2vgWl9ZrU1WqNs3aoxikYfCUHQVo13jvTIkrFzxxO6SAXTCIXTDY2YydzbgPBjOGDEMwiCEY_BNMKACOpphgErhPDwLW-dIUR-ohidB_dugrr1VVumCk9cdjSQqCs07e1_2xja3M7i9t_5H2L2X7QgDHe7D1rdkewcrdYiaYSPHbxzFK-oFezr6P8RP7DTi4xmw</recordid><startdate>199611</startdate><enddate>199611</enddate><creator>Dhir, Vinay</creator><creator>Vege, Santhi Swaroop</creator><creator>Mohandas, K. M.</creator><creator>Desai, Devendra C.</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Liss</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199611</creationdate><title>Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators</title><author>Dhir, Vinay ; Vege, Santhi Swaroop ; Mohandas, K. M. ; Desai, Devendra C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4300-c702f93b7c25bf039a7d513b515254cc25906eab10e60f7c564b46b8e079beb03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Constriction, Pathologic - etiology</topic><topic>Constriction, Pathologic - therapy</topic><topic>Deglutition Disorders - etiology</topic><topic>Deglutition Disorders - therapy</topic><topic>Dilatation - instrumentation</topic><topic>Diseases of the upper aerodigestive tract</topic><topic>dysphagia</topic><topic>endoscopy</topic><topic>Ent and stomatology</topic><topic>Esophagus - pathology</topic><topic>Esophagus - radiation effects</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Head and Neck Neoplasms - therapy</topic><topic>Humans</topic><topic>hypopharyngeal cancer</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy, Adjuvant</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dhir, Vinay</creatorcontrib><creatorcontrib>Vege, Santhi Swaroop</creatorcontrib><creatorcontrib>Mohandas, K. M.</creatorcontrib><creatorcontrib>Desai, Devendra C.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dhir, Vinay</au><au>Vege, Santhi Swaroop</au><au>Mohandas, K. M.</au><au>Desai, Devendra C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J. Surg. Oncol</addtitle><date>1996-11</date><risdate>1996</risdate><volume>63</volume><issue>3</issue><spage>187</spage><epage>190</epage><pages>187-190</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><coden>JSONAU</coden><abstract>Background
There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators.
Methods
Twenty‐one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5‐point scale.
Results
Technical success, dysphagia 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 (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks.
Conclusions
Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer. © 1996 Wiley‐Liss, Inc.</abstract><cop>New York</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>8944064</pmid><doi>10.1002/(SICI)1096-9098(199611)63:3<187::AID-JSO10>3.0.CO;2-2</doi><tpages>4</tpages></addata></record> |
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| ispartof | Journal of surgical oncology, 1996-11, Vol.63 (3), p.187-190 |
| issn | 0022-4790 1096-9098 |
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| source | MEDLINE; Wiley Journals |
| subjects | Adult Aged Biological and medical sciences Constriction, Pathologic - etiology Constriction, Pathologic - therapy Deglutition Disorders - etiology Deglutition Disorders - therapy Dilatation - instrumentation Diseases of the upper aerodigestive tract dysphagia endoscopy Ent and stomatology Esophagus - pathology Esophagus - radiation effects Female Follow-Up Studies Head and Neck Neoplasms - radiotherapy Head and Neck Neoplasms - surgery Head and Neck Neoplasms - therapy Humans hypopharyngeal cancer Male Medical sciences Middle Aged Radiotherapy, Adjuvant Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Treatment Outcome |
| title | Dilation of proximal esophageal strictures following therapy for head and neck cancer: Experience with savary gilliard dilators |
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