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Balloon dilatations of esophageal strictures

Journal Article:

Abstract

Most benign esophageal strictures can be successfully dilated with conventional bougienage technique. But occasionally strictures are so tight, lengthy, or sometimes irregular that this technique fail, and surgical intervention is required. Since 1974 Gruentzig balloon catheter has succeed when used for strictures in the cardiac and peripheral vasculatures, the biliary and urinary tracts, the colon of neonates after inflammatory disease and also in the esophagus. Fluoroscopically guided balloon catheters were used to dilate 30 esophageal strictures in 30 patients over 3 years at Department of Diagnostic Radiology, Chonnam University, College of Medicine. The distribution of age was from 7 years to 71 days and the ratio of male to female was 15:15. The causes of benign stricture (23 cases) were post-operative strictures (13), chemical (4), achalasia (3), chronic inflammation (2), esophageal rupture (1) and those of malignant stricture (7 cases) were post-radiation stricture of primary esophageal cancer (6) and metastatic esophageal cancer (1). The success rate of procedure was 93% (28/30). The causes of failure were the failure of passage of stricture due to markedly dilated proximal segment of esophagus (1 case) and too long segment of stricture (1 case). Complication of procedure was the diverticular-formation of esophagus in 3  More>>
Authors:
Seo, Jeong Jin; Juhng, Seon Kwan; Kim, Jae Kyu; Chung, Hyon De [1] 
  1. Chonnam National University College of Medicine, Seoul (Korea, Republic of)
Publication Date:
Apr 15, 1990
Product Type:
Journal Article
Resource Relation:
Journal Name: Journal of the Korean Radiological Society; Journal Volume: 26; Journal Issue: 2; Other Information: refs, figs, tabs
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BALLOONS; DIAGNOSIS; ESOPHAGUS; FLUOROSCOPY; INFLAMMATION; SURGERY; URINARY TRACT
OSTI ID:
21211813
Country of Origin:
Korea, Republic of
Language:
Korean
Other Identifying Numbers:
Journal ID: ISSN 0301-2867; DBSHAH; TRN: KR0902629082062
Submitting Site:
KRN
Size:
page(s) 259-265
Announcement Date:
Sep 24, 2009

Journal Article:

Citation Formats

Seo, Jeong Jin, Juhng, Seon Kwan, Kim, Jae Kyu, and Chung, Hyon De. Balloon dilatations of esophageal strictures. Korea, Republic of: N. p., 1990. Web.
Seo, Jeong Jin, Juhng, Seon Kwan, Kim, Jae Kyu, & Chung, Hyon De. Balloon dilatations of esophageal strictures. Korea, Republic of.
Seo, Jeong Jin, Juhng, Seon Kwan, Kim, Jae Kyu, and Chung, Hyon De. 1990. "Balloon dilatations of esophageal strictures." Korea, Republic of.
@misc{etde_21211813,
title = {Balloon dilatations of esophageal strictures}
author = {Seo, Jeong Jin, Juhng, Seon Kwan, Kim, Jae Kyu, and Chung, Hyon De}
abstractNote = {Most benign esophageal strictures can be successfully dilated with conventional bougienage technique. But occasionally strictures are so tight, lengthy, or sometimes irregular that this technique fail, and surgical intervention is required. Since 1974 Gruentzig balloon catheter has succeed when used for strictures in the cardiac and peripheral vasculatures, the biliary and urinary tracts, the colon of neonates after inflammatory disease and also in the esophagus. Fluoroscopically guided balloon catheters were used to dilate 30 esophageal strictures in 30 patients over 3 years at Department of Diagnostic Radiology, Chonnam University, College of Medicine. The distribution of age was from 7 years to 71 days and the ratio of male to female was 15:15. The causes of benign stricture (23 cases) were post-operative strictures (13), chemical (4), achalasia (3), chronic inflammation (2), esophageal rupture (1) and those of malignant stricture (7 cases) were post-radiation stricture of primary esophageal cancer (6) and metastatic esophageal cancer (1). The success rate of procedure was 93% (28/30). The causes of failure were the failure of passage of stricture due to markedly dilated proximal segment of esophagus (1 case) and too long segment of stricture (1 case). Complication of procedure was the diverticular-formation of esophagus in 3 cases, but has no clinical significance in follow-up esophagography. In conclusion, fluoroscopically guided balloon dilation of esophageal stricture appears to be safe, effective treatment and may be have theoretical advantages over conventional bougienage and also should be considered before other methods of treatment are used.}
journal = {Journal of the Korean Radiological Society}
issue = {2}
volume = {26}
place = {Korea, Republic of}
year = {1990}
month = {Apr}
}