Endoscopic Dilation of Refractory Postlaryngectomy Strictures: A Case Series and Literature Review
Joint Authors
Stoner, Patrick
Fullerton, Amy L.
Freeman, Alyssa M.
Chheda, Neil N.
Estores, David S.
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-28
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Endoscopic dilation of postlaryngectomy strictures (PLS) is safe and effective; however, PLS are often refractory and require serial dilations.
Long-term outcomes of dilation in patients with refractory PLS are not well reported.
Materials and Methods.
Seven patients with dysphagia and refractory PLS underwent serial endoscopic dilation therapy during a 4.5-year period.
Dilation characteristics, technical success, clinical success, and diet advancement (as assessed by Diet/GT scale) were measured.
Results.
All strictures were complex, and there were no reported complications.
The median number of dilations per patient was 12 (range 7 to 48).
The average interval in between dilations was six weeks.
Technical success was achieved in 6/7 patients, and clinical success was achieved in 2/7 patients.
6/7 patients had advancements in Diet/GT scores.
Conclusions.
Dilation of refractory PLS is safe and effective and frequently requires the use of a retrograde approach, fluoroscopic guidance, and/or lumen patency strings.
Serial dilations are required to maintain luminal patency, relieve dysphagia, and advance oral diet.
The definition of clinical success of dilation in these patients should avoid the use of a specific time interval between dilations to characterize success.
American Psychological Association (APA)
Stoner, Patrick& Fullerton, Amy L.& Freeman, Alyssa M.& Chheda, Neil N.& Estores, David S.. 2019. Endoscopic Dilation of Refractory Postlaryngectomy Strictures: A Case Series and Literature Review. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155534
Modern Language Association (MLA)
Stoner, Patrick…[et al.]. Endoscopic Dilation of Refractory Postlaryngectomy Strictures: A Case Series and Literature Review. Gastroenterology Research and Practice No. 2019 (2019), pp.1-9.
https://search.emarefa.net/detail/BIM-1155534
American Medical Association (AMA)
Stoner, Patrick& Fullerton, Amy L.& Freeman, Alyssa M.& Chheda, Neil N.& Estores, David S.. Endoscopic Dilation of Refractory Postlaryngectomy Strictures: A Case Series and Literature Review. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-9.
https://search.emarefa.net/detail/BIM-1155534
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155534