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Medline ® Abstract for Reference 15

of 'Approach to the evaluation of dysphagia in adults'

Dilation of proximal esophageal strictures following therapy for head and neck cancer: experience with Savary Gilliard dilators.
Dhir V, Vege SS, Mohandas KM, Desai DC
J Surg Oncol. 1996;63(3):187.
BACKGROUND: There is little information on dilation of proximal strictures following surgical and/or radiation therapy for head and neck cancer. We studied the feasibility and efficacy of dilating proximal strictures following therapy for head and neck cancer using Savary Gilliard dilators.
METHODS: Twenty-one consecutive patients with proximal strictures resulting from surgery and/or radiation therapy of head and neck cancer were studied. Savary Gilliard dilation was performed using the standard and a modified method. Dysphagia was graded before and after dilation using a 5-point scale.
RESULTS: Technical success, dysphagia relief, complications, and duration of relief were noted. Technical success was achieved in 20 (95%) patients. Adequate dysphagia relief was obtained in 15/20 (75%) patients, which lasted for 4-36 weeks (median 14 weeks). There were no perforations, bleeding, or deaths. Four patients required repeat dilation after a median interval of 12 weeks.
CONCLUSIONS: Savary Gilliard dilation is a safe and effective method for dilating strictures caused by therapy for head and neck cancer.
Division of Medical Gastroenterology, Tata Memorial Hospital, Parel, Bombay, India.