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High pharyngoesophageal strictures after laryngopharyngectomy can also be treated by self-expandable plastic stents.

Abstract：

BACKGROUND:Permanent dysphagia occurring after laryngectomy or laryngopharyngectomy can usually be treated by periodic dilation. Occasionally, however, conservative treatment is insufficient, and patients require long-term tube feeding. We describe 4 cases with stricture after laryngopharyngectomy who underwent insertion of self-expandable plastic stents (SEPSs) across the stricture for treatment of dysphagia. OBJECTIVE:The aim of this study was to evaluate the role of SEPSs in postlaryngopharyngectomy strictures. DESIGN:An interventional study of management of 4 patients of dysphagia after laryngopharyngectomy with SEPSs. SETTING:Medical gastroenterology unit in a tertiary care hospital. PATIENTS:Four patients with dysphagia after laryngopharyngectomy. INTERVENTIONS:SEPS placement and removal after 3 months. MAIN OUTCOME MEASUREMENTS:Improvement in dysphagia. METHODS:Four patients with dysphagia after laryngopharyngectomy underwent dilation of stricture followed by SEPS placement for 3 months. RESULTS:Three patients had grade IV, and 1 grade III dysphagia. Endoscopy showed stricture at 10 to 14 cm from the incisors. Stricture was dilated up to 15 mm on 3 occasions, 2 weeks apart. A silicone Polyflex stent was placed across the stricture and removed after 3 months. No dysphagia recurred after 2 months. No significant complications were noted. LIMITATIONS:Small sample size. CONCLUSIONS:SEPSs dilate postlaryngopharyngectomy strictures and prevent restenosis even after removal.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Somani SK,Verma N,Avasthi G,Ghosh A,Goyal R,Joshi N

doi

10.1016/j.gie.2009.12.050

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

1304-7

issue

7

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(10)00003-9

journal_volume

71

pub_type

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