Long-Term Results of Balloon Catheter Dilation of Lower Gastrointestinal Tract Stenoses

Solt, J; Hertelendy, Ágnes; K, Szilágyi

doi:10.1007/s10350-004-0619-7

Cited by 25 publications

(14 citation statements)

References 26 publications

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“…VGBD has become a common method for treating a variety of gastrointestinal tract strictures, and it is particularly effective in treating patients with esophageal conditions (8,9,(12)(13)(14). Another modality, retrograde endoscopic balloon dilation, has been recommended as a first-line treatment in some cases; it has been proven safe and reliable for treating complete strictures of the hypopharynx (15).…”

Section: Discussionmentioning

confidence: 99%

Videofluoroscopy-guided balloon dilatation for treatment of severe pharyngeal dysphagia

Yabunaka

Konishi

Nakagami³

et al. 2015

Diagn Interv Radiol

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Balloon dilatation is a widely accepted technique in the management of esophageal and other types of gastrointestinal strictures, but it is rarely used for the treatment of pharyngeal dysphagia. Therefore, the aim of our prospective study was to evaluate the use of videofluoroscopy-guided balloon dilatation (VGBD) for the treatment of severe pharyngeal dysphagia. The study included 32 stroke patients who had been diagnosed with oral and/or pharyngeal dysphagia. All patients underwent dilatation of the esophageal inlet using a balloon catheter under videofluoroscopic guidance during one or more sessions. Following esophageal dilatation, manual feeding was provided twice weekly. VGBD was effective in 10 out of 32 patients; however, the remaining 22 patients were unable to attempt oral food consumption because aspiration was not completely resolved on videofluoroscopy. According to this case series, VGBD may provide treatment for patients with severe pharyngeal dysphagia, who have not consumed food orally for a long period of time.

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Section: Discussionmentioning

confidence: 99%

Videofluoroscopy-guided balloon dilatation for treatment of severe pharyngeal dysphagia

Yabunaka

Konishi

Nakagami³

et al. 2015

Diagn Interv Radiol

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“…At the moment, it is difficult to define the relapse risk after endoscopic balloon dilatation, as the published studies [8,[17][18][19] are based on very different follow-up periods, and often do not represent structured prospective longterm studies.…”

Section: Discussionmentioning

confidence: 99%

“…Valid long-term studies of 5 years or more, which would permit a statement regarding recurrence of strictures and a better comparison with surgical techniques [3,4] , are available so far only in casuistic form and with limited numbers [8,[17][18][19] . We report on our own prospective 10-year long-term study of endoscopic balloon dilatation of strictures in Crohn's disease using a relatively thin balloon (18 mm) and additional treatment with prednisolone.…”

Section: Introductionmentioning

confidence: 99%

Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: A prospective study

Stienecker¹,

Gleichmann²,

Neumayer³

et al. 2009

WJG

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AIM:To examine the long-term results of endoscopic treatment in a prospective study conducted over a period of 10 years, 1997 to January 2007. METHODS:A total of 25 patients (20 female and five male: aged 18-75 years), with at least one symptom of stricture not passable with the standard colonoscope and with a confirmed scarred Crohn's stricture of the lower gastrointestinal tract, were included in the study. The main symptom was abdominal pain. The endoscopic balloon dilatation was performed with an 18 mm balloon under endoscopic and radiological control.

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“…El más habitualmente utilizado ha sido la dilatación simple, con o sin colocación de tutor metálico autoexplandible (20), seguida de electroincisión radial (21). Con dilatación se han logrado alrededor de un 70% de buenos resultados a largo plazo (22). Los tutores metálicos presentan numerosas complicaciones y constituirían una medida transitoria de resolver el problema (23).…”

Section: Discussionunclassified

Estenosis isquémica tardía tras resección anterior de recto

Zuloaga

Arias-Dı́az

Fernández-Díez

et al. 2008

Rev. esp. enferm. dig.

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INTRODUCCIÓNLa colitis isquémica se complica con el desarrollo de estenosis en el 10-15% de los casos (1). El edema asociado con la isquemia y la fibrosis secundaria al proceso cicatricial se postulan como los mecanismos de dicha estenosis (2).Aunque son relativamente frecuentes las estenosis isquémicas de colon tras cirugía del aneurisma aórtico, existen muy pocos casos descritos tras resección rectal (3), estando casi todos ellos relacionados con radioterapia perioperatoria.Aquí describimos un caso de estenosis isquémica de colon, no relacionada con radioterapia, tras una resección anterior realizada 5 años antes, planteando un difícil diagnóstico diferencial con recidiva tumoral. CASO CLÍNICOPaciente varón de 65 años, fumador de 20-40 cigarrillos/día y con antecedente de ulcus duodenal. Había sido intervenido 5 años previamente por neoplasia estenosante de unión recto-sigmoidea (adenocarcinoma estadio B de Dukes, T3N0M0, estadio III-A AJCC), practicándosele resección anterior, seguida de anastomosis término-terminal mediante sutura mecánica utilizando la técnica del doble grapado. El postoperatorio de dicha intervención cursó sin complicaciones y el paciente fue seguido en consulta cada 6 meses, realizándose anualmente colonoscopia y ecografía. La imagen endoscópica de la región perianastomótica resultó normal en todas las revisiones, incluyendo la última, realizada el año anterior (a los 4 años de la intervención). Estenosis isquémica tardía tras resección anterior de recto RESUMENExiste una incidencia no despreciable de lesiones de colon de origen isquémico tras resecciones anteriores bajas por cáncer. Presentamos un caso de estenosis isquémica de colon, no relacionada con radioterapia, a los 5 años de la cirugía. Se discute la dificultad del diagnóstico diferencial con recidiva tumoral, así como el importante papel que desempeña la endoscopia en el abordaje de estos pacientes.Palabras clave: Estenosis de colon. Rectosigmoidectomía. Cán-cer colorrectal. Isquemia mesentérica. Corticosteroides. ABSTRACTA considerable incidence of colonic strictures after oncologic low anterior resections has been reported. The present paper describes a colonic stricture 5 years after the surgery, and not related to radiotherapy, that required a challenging differential diagnosis with local recurrence of rectal cancer. The role of endoscopy in the management of this condition is discussed.

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Long-Term Results of Balloon Catheter Dilation of Lower Gastrointestinal Tract Stenoses

Abstract: The dilation of benign stenoses of the lower gastrointestinal tract with a balloon catheter is an effective and safe method, which in most cases (70 percent) results in long-term elimination of the obstructive symptoms, so that surgery can be avoided.

Cited by 25 publications

References 26 publications

Videofluoroscopy-guided balloon dilatation for treatment of severe pharyngeal dysphagia

Videofluoroscopy-guided balloon dilatation for treatment of severe pharyngeal dysphagia

Long-term results of endoscopic balloon dilatation of lower gastrointestinal tract strictures in Crohn’s disease: A prospective study

Estenosis isquémica tardía tras resección anterior de recto

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