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• W1524828384 abstract "The main indication for esophageal dilation is to relieve benign or malignant dysphagia. Endoscopic dilation of malignant strictures is also performed to facilitate the completion of endoscopic procedures, such as endoscopic ultrasonographic tumor staging and to permit the placement of esophageal stents or to place a percutaneous endoscopic gastrostomy for feeding purposes. Esophageal strictures are structurally categorized into two groups: complex and simple. Complex strictures are those that are asymmetric, irregular or angulated with diameter <12 mm. Simple strictures are symmetric or concentric with a diameter of ≥12 mm or those that easily allow passage of a diagnostic upper endoscope. Dilation can be accomplished through several steps using a variety of dilating devices and adjunctive techniques. The approach to management of esophageal strictures is reviewed with a focus on dilation technique. Copyright © 2010 S. Karger AG, Basel Esophageal dilation is performed for the treatment of anatomic and sometimes functional narrowing of the esophageal lumen caused by a variety of benign and malignant conditions (table 1) [1–3]. Until the late 1980s, nearly 80% of esophageal strictures were due to gastroesophageal reflux, but at present the incidence of peptic strictures may be decreasing due to the widespread use of proton pump inhibitors (PPIs) [2] (fig. 1). Currently, malignant disorders, post-anastomotic or radiation-induced stenosis constitute common causes of esophageal strictures [1, 3–6] (fig. 2, 3). Most patients with esophageal stenosis present with dysphagia. Dysphagia is a subjective sensation that suggests the presence of an organic abnormality in the passage of liquids or solids from the oral cavity to the stomach (fig. 4). Patient’s complaints range from the inability to initiate a swallow (oropharyngeal dysphagia) to the sensation of solids or liquids being hindered during their passage through the esophagus into the stomach (esophageal dysphagia). Table 1 presents a list of differential diagnosis of dysphagia. The term ‘odynophagia’ refers to painful swallowing." @default.
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• W1524828384 date "2009-11-06" @default.
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• W1524828384 title "Endoscopic Dilation of Benign and Malignant Esophageal Strictures" @default.
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• W1524828384 doi "https://doi.org/10.1159/000258352" @default.
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