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Войти в исследования Gastrointestinal endoscopy · 2010
High pharyngoesophageal strictures after laryngopharyngectomy can also be treated by self-expandable plastic stents.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Somani Sanjay Kumar, Verma Narinder, Avasthi Gurcharan, Ghosh Arindam, Goyal Richa, Joshi Nitin
Аннотация
BACKGROUND: Permanent dysphagia occurring after laryngectomy or laryngopharyngectomy can usually be treated by periodic dilation. Occasionally, however, conservative treatment is insufficient, and patients require long-term tube feeding. We describe 4 cases with stricture after laryngopharyngectomy who underwent insertion of self-expandable plastic stents (SEPSs) across the stricture for treatment of dysphagia.
OBJECTIVE: The aim of this study was to evaluate the role of SEPSs in postlaryngopharyngectomy strictures.
DESIGN: An interventional study of management of 4 patients of dysphagia after laryngopharyngectomy with SEPSs.
SETTING: Medical gastroenterology unit in a tertiary care hospital.
PATIENTS: Four patients with dysphagia after laryngopharyngectomy.
INTERVENTIONS: SEPS placement and removal after 3 months.
MAIN OUTCOME MEASUREMENTS: Improvement in dysphagia.
METHODS: Four patients with dysphagia after laryngopharyngectomy underwent dilation of stricture followed by SEPS placement for 3 months.
RESULTS: Three patients had grade IV, and 1 grade III dysphagia. Endoscopy showed stricture at 10 to 14 cm from the incisors. Stricture was dilated up to 15 mm on 3 occasions, 2 weeks apart. A silicone Polyflex stent was placed across the stricture and removed after 3 months. No dysphagia recurred after 2 months. No significant complications were noted.
LIMITATIONS: Small sample size.
CONCLUSIONS: SEPSs dilate postlaryngopharyngectomy strictures and prevent restenosis even after removal.
OBJECTIVE: The aim of this study was to evaluate the role of SEPSs in postlaryngopharyngectomy strictures.
DESIGN: An interventional study of management of 4 patients of dysphagia after laryngopharyngectomy with SEPSs.
SETTING: Medical gastroenterology unit in a tertiary care hospital.
PATIENTS: Four patients with dysphagia after laryngopharyngectomy.
INTERVENTIONS: SEPS placement and removal after 3 months.
MAIN OUTCOME MEASUREMENTS: Improvement in dysphagia.
METHODS: Four patients with dysphagia after laryngopharyngectomy underwent dilation of stricture followed by SEPS placement for 3 months.
RESULTS: Three patients had grade IV, and 1 grade III dysphagia. Endoscopy showed stricture at 10 to 14 cm from the incisors. Stricture was dilated up to 15 mm on 3 occasions, 2 weeks apart. A silicone Polyflex stent was placed across the stricture and removed after 3 months. No dysphagia recurred after 2 months. No significant complications were noted.
LIMITATIONS: Small sample size.
CONCLUSIONS: SEPSs dilate postlaryngopharyngectomy strictures and prevent restenosis even after removal.