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Fluoroscopically guided balloon dilation for benign anastomotic stricture in the upper gastrointestinal tract.

Kim JH, Shin JH, Song HY - Korean J Radiol (2008 Jul-Aug)

Bottom Line: A benign anastomotic stricture is a common complication of upper gastrointestinal (UGI) surgery and is difficult to manage conservatively.Fluoroscopically guided balloon dilation has a number of advantages and is a safe and effective procedure for the treatment of various benign anastomotic strictures in the UGI tract.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

ABSTRACT
A benign anastomotic stricture is a common complication of upper gastrointestinal (UGI) surgery and is difficult to manage conservatively. Fluoroscopically guided balloon dilation has a number of advantages and is a safe and effective procedure for the treatment of various benign anastomotic strictures in the UGI tract.

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Related in: MedlinePlus

Fluoroscopically guided balloon dilation for anastomotic stricture after Ivor-Lewis surgery.A. UGI series before balloon dilation shows anastomotic stricture (arrow) at esophagogastrostomy.B, C. 20-mm-diameter balloon is placed and is inflated until waist forms by stricture disappeared.D. Immediately after balloon dilation, stricture is greatly improved (arrow).
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Figure 4: Fluoroscopically guided balloon dilation for anastomotic stricture after Ivor-Lewis surgery.A. UGI series before balloon dilation shows anastomotic stricture (arrow) at esophagogastrostomy.B, C. 20-mm-diameter balloon is placed and is inflated until waist forms by stricture disappeared.D. Immediately after balloon dilation, stricture is greatly improved (arrow).

Mentions: Ivor-Lewis esophagectomy is one of the popular procedures for esophageal resection; it includes abdominal incision, right thoracotomy, and esophagogastric anastomosis (16). In a previous study, following FGBD, obstructive symptoms were relieved in 95% (59/62) of patients with benign anastomotic strictures after Ivor-Lewis esophagectomy (Fig. 4) during a mean follow-up period of 28 months, and there were no major complications (8).


Fluoroscopically guided balloon dilation for benign anastomotic stricture in the upper gastrointestinal tract.

Kim JH, Shin JH, Song HY - Korean J Radiol (2008 Jul-Aug)

Fluoroscopically guided balloon dilation for anastomotic stricture after Ivor-Lewis surgery.A. UGI series before balloon dilation shows anastomotic stricture (arrow) at esophagogastrostomy.B, C. 20-mm-diameter balloon is placed and is inflated until waist forms by stricture disappeared.D. Immediately after balloon dilation, stricture is greatly improved (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2627276&req=5

Figure 4: Fluoroscopically guided balloon dilation for anastomotic stricture after Ivor-Lewis surgery.A. UGI series before balloon dilation shows anastomotic stricture (arrow) at esophagogastrostomy.B, C. 20-mm-diameter balloon is placed and is inflated until waist forms by stricture disappeared.D. Immediately after balloon dilation, stricture is greatly improved (arrow).
Mentions: Ivor-Lewis esophagectomy is one of the popular procedures for esophageal resection; it includes abdominal incision, right thoracotomy, and esophagogastric anastomosis (16). In a previous study, following FGBD, obstructive symptoms were relieved in 95% (59/62) of patients with benign anastomotic strictures after Ivor-Lewis esophagectomy (Fig. 4) during a mean follow-up period of 28 months, and there were no major complications (8).

Bottom Line: A benign anastomotic stricture is a common complication of upper gastrointestinal (UGI) surgery and is difficult to manage conservatively.Fluoroscopically guided balloon dilation has a number of advantages and is a safe and effective procedure for the treatment of various benign anastomotic strictures in the UGI tract.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

ABSTRACT
A benign anastomotic stricture is a common complication of upper gastrointestinal (UGI) surgery and is difficult to manage conservatively. Fluoroscopically guided balloon dilation has a number of advantages and is a safe and effective procedure for the treatment of various benign anastomotic strictures in the UGI tract.

Show MeSH
Related in: MedlinePlus