Endoscopic balloon dilatation for pharyngo‐upper esophageal stricture after treatment of head and neck cancer

2014 ◽  
Vol 27 (3) ◽  
pp. 310-316 ◽  
Author(s):  
Ryuhei Maejima ◽  
Katsunori Iijima ◽  
Tomoyuki Koike ◽  
Nobuyuki Ara ◽  
Kaname Uno ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Balloon Dilatation ◽  
Esophageal Stricture ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

Bowel Perforation Presenting as Head and Neck Subcutaneous Emphysema

2021 ◽  
pp. 000313482199508
Author(s):  
Dezarae R. Leto ◽  
Derek T. Clar ◽  
David A. Goodman
Keyword(s):  
Head And Neck ◽  
Chest Wall ◽  
Clinical Evaluation ◽  
Subcutaneous Emphysema ◽  
Balloon Dilatation ◽  
Soft Tissues ◽  
Bowel Resection ◽  
Bowel Perforation ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

This patient with Crohn's disease underwent endoscopic balloon dilatation of an ileocolic stricture, and shortly thereafter developed subcutaneous emphysema in the soft tissues of her face, neck, and chest wall. Clinical evaluation and imaging revealed peritonitis from perforated bowel. She underwent laparotomy and bowel resection and recovered well. Subcutaneous emphysema in the head and neck from perforated bowel is a rare but recognized presentation of viscus perforation.

scholarly journals Factors predicting successful endoscopic balloon dilatation of esophageal strictures in children - a retrospective study

2019 ◽  
Author(s):  
Dongling Dai ◽  
Sixi Liu ◽  
Qinghua Yang ◽  
Chenxi Zhang ◽  
Yigui Zou ◽  
...  
Keyword(s):  
Balloon Dilatation ◽  
Esophageal Stricture ◽  
Successful Outcome ◽  
Endoscopic Balloon Dilatation ◽  
Esophageal Strictures ◽  
Optimal Protocol ◽  
Multiple Structures ◽  
Predicting Outcome ◽  
Poor Outcomes ◽  
Endoscopic Balloon

Abstract Background & Aims: Endoscopic balloon dilatation has become the first line treatment for benign esophageal strictures; It is important to know the factors predicting successful outcome to assist in selecting optimal protocol to obtain the best outcome and avoid as many complication as possible. This study aimed to assess the factors predicting outcome of endoscopic balloon dilatation treatment for esophageal stricture in children. Methods: All the patients with benign esophageal stricture treated by endoscopic balloon dilatation from January 2010 to December 2014 were included. All procedures were performed under tracheal intubation and intravenous anesthesia using the 3rd grade controlled radial expansion balloon with the gastroscope. Outcomes were recorded and predictors for outcomes were analyzed. Results: A total of 170 dilations were completed in 64 patients. The success rate was 96.9%. The rates of response, complication, and recurrence were 96.77%, 8.06%, and 3.33%, respectively. The number of dilatation sessions and complications were significant higher in patients with smaller diameter strictures (P = 0.013, 0.023), and in patients with multiple structures (P = 0.014, 0.004); more complication and recurrences were seen in patients with longer strictures (P = 0.001, 0.012). The longer the interval between surgery and first dilatation the more sessions and the poorer the response in the patients with anastomotic esophageal strictures (p = 0.017, 0.024). Conclusions: The diameter, length and number of stricture were the most important risk factors for poor outcomes of endoscopic balloon dilatation treatment of esophageal stricture.

scholarly journals The Most Common Causes of Benign Esophageal Stricture in Children and the Success Rate of Endoscopic Balloon Dilatation, a Single-Center Experience

2020 ◽  
Vol 11 (4) ◽  
Author(s):  
Hamid Reza Sadeghi ◽  
Mehri Najafi Sani ◽  
Fatemeh Farahmand ◽  
Hosein Alimadadi ◽  
Farzaneh Motamed ◽  
...  
Keyword(s):  
Balloon Dilatation ◽  
Esophageal Stricture ◽  
Response To Treatment ◽  
Caustic Ingestion ◽  
Benign Esophageal Stricture ◽  
Endoscopic Balloon Dilatation ◽  
Balloon Catheters ◽  
Esophageal Strictures ◽  
Common Causes ◽  
Endoscopic Balloon

Background: Benign esophageal strictures are not rare. Over the past two decades, endoscopic balloon dilatation (EBD) has been used to treat them. Objectives: The purpose of this study was to identify the most common causes of benign esophageal stricture in children determine the success rate of endoscopic balloon dilatation. Methods: Children younger than 16 years with benign esophageal strictures referred to the endoscopy department during one year (2016 - 2017) were enrolled. After obtaining written consent from parents, endoscopy balloon dilatation was performed with two types of balloon catheters. Response to treatment was evaluated based on clinical symptoms and was classified according to the Vantrappen table score. Results: In this study, thirty-one (31) children participated including 19 (61%) boys and 12 (39%) girls. The mean age was 5.1 ± 3.9 years. The most common causes of esophageal stricture were: achalasia (45%), esophageal atresia (19%), stenosis due to the caustic ingestion (19%), another congenital stenosis (16%). Overall, 27 children (87.1%) had a good response to treatment. In children with stenosis due to caustic ingestion, the inappropriate response was higher than the rest (33%). However, only in 4 (12.9%) patients, balloon dilatation failed. No complications were observed. Conclusions: Achalasia, esophageal atresia, and caustic ingestion are the most common cause of benign esophageal stricture in the children. EBD is an effective and safe treatment in these children, even in cases of previous surgery and recurrence. If this procedure is performed by an expert using appropriate balloon catheters, no complications will be created.

scholarly journals 527 ADVERSE EVENTS OF ENDOSCOPIC BALLOON DILATATION FOR ESOPHAGEAL STRICTURE CAUSED BY ENDOSCOPIC SUBMUCOSAL DISSECTION

2018 ◽  
Vol 87 (6) ◽  
pp. AB88-AB89
Author(s):  
Yoshihiro Nakamura ◽  
Yasuaki Nagami ◽  
Masafumi Yamamura ◽  
Kappei Hayashi ◽  
Yosuke Kinoshita ◽  
...  
Keyword(s):  
Adverse Events ◽  
Endoscopic Submucosal Dissection ◽  
Balloon Dilatation ◽  
Esophageal Stricture ◽  
Endoscopic Balloon Dilatation ◽  
Submucosal Dissection ◽  
Endoscopic Balloon

scholarly journals Long-Term Outcomes of Caustic Esophageal Stricture with Endoscopic Balloon Dilatation in Chinese Children

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Lan-Lan Geng ◽  
Cui-Ping Liang ◽  
Pei-Yu Chen ◽  
Qiang Wu ◽  
Min Yang ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Balloon Dilatation ◽  
Esophageal Stricture ◽  
Secondary Outcome ◽  
Long Term Outcomes ◽  
Failure Group ◽  
Factors Associated ◽  
Endoscopic Balloon Dilatation ◽  
Endoscopic Balloon

Caustic esophageal stricture (CES) in children still occurs frequently in developing countries. We aimed to evaluate the long-term outcomes of endoscopic balloon dilatation (EBD) in treating CES in children and the influencing factors associated with outcome. We retrospectively reviewed the data of all patients who had a diagnosis of CES and underwent EBD from August 1, 2005, to December 31, 2014. The primary outcome was EBD success, which was defined as the maintenance of dysphagia-free status for at least 12 months after the last EBD. The secondary outcome was to analyze influencing factors associated with EBD success. Forty-three patients were included for analysis (29 males; mean age at first dilatation 44 months with range 121 months). 26 (60.5%) patients had long segment (>2 cm) stricture. A total of 168 EBD procedures were performed. Twenty-six (60.5%) patients were considered EBD success. Seventeen (39.5%) patients failed EBD and required stent placement and/or surgery. Patients in the EBD success group had significantly shorter stricture segments when compared to the EBD failure group (t=2.398, P=0.018, OR=3.206, 95% OR: 1.228–8.371). Seven (4.4%) esophageal perforations occurred in 6 patients after EBD. Stents were placed in 5 patients, and gastric tube esophagoplasty was performed in 14 patients. In conclusion, 26 (60.5%) of 43 children with CES had EBD success. Length of stricture was the main influencing factor associated with EBD treatment outcome.

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