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Updated: Jul 30, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Technique of esophageal dilation
1University of South Alabama School of Medicine, Mobile, USA.
Chest Surgery Clinics of North America
|August 1, 1995
Summary
Flexible upper endoscopy has advanced esophageal stricture management. Different dilators like Maloney, TTS balloon, and Savary are used for specific stricture types and sizes, improving treatment options.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
Background:
- Flexible upper gastrointestinal endoscopy is widely used.
- Esophageal strictures require effective management, often involving dilation.
Purpose of the Study:
- To review current esophageal dilation techniques.
- To compare the utility of various dilators for different stricture types.
Main Methods:
- Review of common esophageal dilators: Maloney, through-the-scope (TTS) balloon, and Savary.
- Discussion of dilator selection based on stricture characteristics (symmetry, diameter, fibrosis).
Main Results:
- Maloney dilators are standard for symmetrical strictures (≥1.2 cm).
- TTS balloon dilators are effective for asymmetrical strictures (≥1.2 cm), especially without fluoroscopy.
- Savary dilators are useful for difficult, fibrotic strictures (≤1.0 cm) with guidewire and fluoroscopy.
Conclusions:
- Esophageal stricture management benefits from tailored dilation techniques.
- Selection of appropriate dilators (Maloney, TTS, Savary) optimizes treatment outcomes.
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