Corrosive esophageal stricture: Safety and effectiveness of balloon dilation

Ho Young Song, Young Min Han, Hak Nam Kim, Chong Soo Kim, Ki Chul Choi

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

The safety and long-term effectiveness of fluoroscopically guided balloon dilation for corrosive esophageal stricture was evaluated in 22 patients with a follow-up period of more than 1 year (range, 13-52 months). The average interval between corrosive agent ingestion and initial balloon dilation was 18 years (range, 2 months to 51 years). Balloons with a diameter of 5-8 mm were used in the initial attempt. The caliber of the balloon catheter was increased gradually over subsequent dilations, up to a diameter that allowed patients to swallow solid foods. Dilation of more than 17 mm in diameter was performed in five patients. Patients underwent one to five sessions. Esophageal rupture occurred in seven patients and was treated nonoperatively in five and surgically in two. With exclusion of these latter two, 11 of 20 could tolerate swallowing all kinds of food and nine could tolerate swallowing most foods. Balloon dilation in corrosive esophageal strictures is effective, but the high rupture rate indicates the need for extra caution.

Original languageEnglish (US)
Pages (from-to)373-378
Number of pages6
JournalRadiology
Volume184
Issue number2
DOIs
StatePublished - Aug 1992
Externally publishedYes

Keywords

  • Esophagus, interventional procedure, 71.1299
  • Esophagus, stenosis or obstruction, 71.744
  • Interventional procedures, complications, 71.458

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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