Endoscopic Balloon Dilatation of Benign Esophageal Stricture
Author Information
Author(s): Olle Ekberg, Anders Borgstrom, Frans-Thomas Fork, Eje Lovdahl
Primary Institution: University of Lund, Malmii General Hospital
Hypothesis
The study aims to report the complication rate during and immediately after balloon dilatation of benign esophageal strictures.
Conclusion
Balloon dilatation of benign esophageal strictures is generally safe, but there is a risk of late perforations, especially after repeated procedures.
Supporting Evidence
- Balloon dilatation was successful in 45 out of 52 patients (66%).
- Three major complications occurred, including one death.
- The risk of perforation seems to be higher after repeated procedures than during the first one.
- Immediate relief of obstructive symptoms is reported in up to 98%, decreasing to around 60% after 3 months.
Takeaway
Doctors use a balloon to help open up narrow areas in people's esophagus, which usually works well, but sometimes it can cause serious problems.
Methodology
The study involved retrospective analysis of 52 patients who underwent balloon dilatation procedures, with premedication and fluoroscopic control.
Limitations
The study does not determine the optimal interval between procedures or the number of sessions needed for persistent symptom relief.
Participant Demographics
31 men and 21 women, median age 71 years, range 28-90.
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