Effect of dilatation of peptic esophageal strictures on gastroesophageal reflux, dysphagia, and stricture diameter

In 10 patients with peptic esophageal stricture the effect of esophageal dilatation on intraesophageal pH, stricture diameter, and dysphagia has been studied. Percentage of time during which intraesophageal pH was less than 4 and the number of reflux episodes per hour did not change significantly. S...

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Bibliographic Details
Published inDigestive diseases and sciences Vol. 33; no. 4; p. 389
Main Authors Penagini, R, Al Dabbagh, M, Misiewicz, J J, Evans, P F, Trotman, I F
Format Journal Article
LanguageEnglish
Published United States 01.04.1988
Subjects
Adult
Aged
Barium Sulfate
Deglutition Disorders - etiology
Deglutition Disorders - therapy
Dilatation - adverse effects
Esophageal Stenosis - complications
Esophageal Stenosis - diagnostic imaging
Esophageal Stenosis - etiology
Esophageal Stenosis - therapy
Esophagus - physiopathology
Female
Gastroesophageal Reflux - complications
Gastroesophageal Reflux - physiopathology
Humans
Hydrogen-Ion Concentration
Male
Manometry
Middle Aged
Monitoring, Physiologic
Radiography
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Summary:In 10 patients with peptic esophageal stricture the effect of esophageal dilatation on intraesophageal pH, stricture diameter, and dysphagia has been studied. Percentage of time during which intraesophageal pH was less than 4 and the number of reflux episodes per hour did not change significantly. Stricture diameter increased slightly, but consistently, from 7.0 +/- 0.5 mm to 9.1 +/- 0.5 mm (P less than 0.01) four days after dilatation, but was not significantly different from predilatation values after 12 weeks. Improvement in symptoms of dysphagia was striking (P less than 0.01) four days and six weeks after dilatation, but worsened again at 12 weeks (P = NS). It is unlikely that esophageal dilatation adversely affects the intraesophageal environment.
ISSN:0163-2116
DOI:10.1007/BF01536019