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Related Experiment Videos

Radiological management of oesophageal strictures

M G Cowling1, A Adam

  • 1Department of Interventional Radiology, UMDS, Guy's Hospital, London.

Hospital Medicine (London, England : 1998)
|November 26, 1998
PubMed
Summary

Interventional radiology effectively treats esophageal strictures. Balloon dilation offers high success for benign cases, while self-expanding stents provide palliation for malignant strictures.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Medical Devices

Background:

  • Esophageal strictures cause significant dysphagia.
  • Interventional radiology offers minimally invasive management options.

Purpose of the Study:

  • To summarize the effectiveness of interventional radiology techniques for esophageal strictures.
  • To highlight fluoroscopically-guided balloon dilatation and self-expanding metallic stents.

Main Methods:

  • Review of fluoroscopically-guided balloon dilatation for benign strictures.
  • Review of self-expanding metallic stents for malignant strictures.

Main Results:

  • Balloon dilatation achieves relief in ~95% of benign stricture cases with low complication rates.
  • Self-expanding metallic stents successfully palliate >95% of inoperable malignant strictures.

Conclusions:

  • Interventional radiology provides highly effective treatment for esophageal strictures.
  • Both balloon dilatation and stenting are successful in their respective indications.

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