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Published on: October 13, 2017
Efficacy of large-diameter dilatation in cricopharyngeal dysfunction
Matthew S Clary1, James J Daniero, Scott W Keith
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. mclaryent@gmail.com
Large-bore bougienage effectively treats cricopharyngeal dysfunction and dysphagia. This esophageal dilatation method offers significant patient benefit with a high success rate and excellent safety profile.
Area of Science:
- Gastroenterology
- Otolaryngology
- Surgical Innovation
Background:
- Cricopharyngeal dysfunction is a common cause of dysphagia.
- Current treatment options for cricopharyngeal dysfunction have limitations.
Purpose of the Study:
- To evaluate the effectiveness and safety of large-diameter bougienage for cricopharyngeal dysfunction.
- To assess esophageal dilatation as a diagnostic and therapeutic tool for dysphagia.
Main Methods:
- Retrospective chart review of 46 patients with cricopharyngeal dysphagia.
- Treatment involved 60 French esophageal dilators.
- Outcomes analyzed based on symptoms, manometry, duration of benefit, and safety.
Main Results:
- 59 dilatations performed on 46 patients; 64.29% showed improved Functional Outcome Swallowing Score (FOSS).
- Median duration of benefit was 741 days.
- Five minor complications, no major complications.
Conclusions:
- Large-bore bougienage is an effective, safe, and user-friendly treatment for cricopharyngeal dysfunction.
- Esophageal dilatation offers significant utility compared to botulinum injection, balloon dilatation, and myotomy.
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