Authors: GiYoung Ko HoYoung Song HeukJin Hong KyuBo Sung TaeSeok Seo HyunKi Yoon
Publish Date: 2003/03/06
Volume: 26, Issue: 2, Pages: 141-145
Abstract
Purpose To assess the efficacy of balloon dilation combined with chemotherapy and/or radiation therapy for palliation of dysphagia due to malignant esophagogastric junction strictures Methods Fluoroscopically guided balloon dilation was attempted in 20 patients The causes of strictures were gastric adenocarcinoma n = 10 and esophageal squamous cell carcinoma n = 10 Scheduled chemotherapy and/or radiation therapy followed balloon dilation in all patients Results There were no technical failures or major complications After balloon dilation 15 75 patients showed improvement of dysphagia No patient complained of reflux esophagitis during the followup period Among the 15 patients seven needed no further treatment for palliation of dysphagia until their deaths The remaining eight patients underwent repeat balloon dilation n = 4 or stent placement n = 4 3–43 weeks mean 15 weeks after the initial balloon dilation because of recurrent dysphagia Conclusion Balloon dilation combined with chemotherapy and/or radiation therapy seems to be an easy and reasonably effective palliative treatment for malignant esophagogastric strictures
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