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Cutting the defiant lower esophageal ring.

Abstract：

:A symptomatic lower esophageal ring generally responds to standard bougienage therapy. However, a subset of patients with a lower esophageal ring defy dilation therapy. We have evaluated the efficacy of electrocautery incision of "defiant" lower esophageal rings, the data of which forms the basis of this report. Seven of 75 patients with a lower esophageal ring failed to respond to conventional esophageal dilation. All seven patients underwent electrocautery incision of a "defiant" lower esophageal ring with alleviation of dysphagia. One patient had recurrence of dysphagia that occurred 6 months after initial electrocautery incision. No major complication occurred, although one patient had transient chest pain. Subsequently, all patients have remained without symptoms at a mean follow-up of 36 months. Electrocautery incision of "defiant" lower esophageal ring is efficacious, safe, and results in long-term relief of dysphagia.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Burdick JS,Venu RP,Hogan WJ

doi

10.1016/s0016-5107(93)70210-2

subject

Has Abstract

pub_date

1993-09-01 00:00:00

pages

616-9

issue

5

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(93)70210-2

journal_volume

39

pub_type

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