Year 2018 / Volume 110 / Number 7
Original
Factors associated with complications during endoscopic esophageal dilation

440-445

DOI: 10.17235/reed.2018.5375/2017

Harold Eduardo Benites Goñi, Ronald Arcana López, Katherine Yelenia Bustamante Robles, Aurora Burgos García, Luis Cervera Caballero, Augusto Vera Calderón, Milagros Dávalos Moscol,

Abstract
Background: endoscopic dilation is considered as the treatment of choice for esophageal strictures. However, there are no studies in our region that have assessed the safety of the procedure. Objective: to assess the safety of esophageal dilation and the factors associated with the development of complications. Materials and methods: a retrospective cohort was studied. All patients referred for esophageal dilation between January 2015 and June 2017 were included in the study. A complication rate was obtained and the association between nonadherence to the “rule of 3” and the development of complications was determined. Other predictive factors associated with complication development were also analyzed. Results: a total of 164 patients that underwent 474 dilations were included in the study. Surgical anastomosis stricture was the most prevalent etiology. A total of six complications occurred, including three perforations (0.63%), two bleeding events (0.42%) and one episode of significant pain that required post-procedure observation (0.21%). Endoscopic esophageal dilation without adherence to the “rule of 3” was not associated with a higher risk of complications. Balloon dilation was the only predictive factor for complications. Conclusions: esophageal dilation is a safe procedure. Nonadherence to the “rule of 3” does not appear to be associated with a higher risk of complications, including esophageal perforation.
Share Button
New comment
Comments
No comments for this article
References
1. Egan J V., Baron TH, Adler DG et al. Esophageal dilation. Gastrointest Endosc. 2006;63(6):755–60.
2. Quine MA, Bell GD, McCloy RF et al. Prospective audit of perforation rates following upper gastrointestinal endoscopy in two regions of England. Br J Surg. 1995;82(4):530–3.
3. Dellon E, Gibbs W, Rubinas T, Al. E. Esophageal dilation in eosinophilic esophagitis: safety and predictors of clinical response and complications. Gastrointest Endosc. 2010;71:706–12.
4. Clouse RE. Complications of endoscopic gastrointestinal dilation techniques. Gastrointest Endosc Clin N Am [Internet]. 1996;6(2):323–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8673331
5. Hernandez L, Jacobson J, Harris M. Comparison among the perforation rates of Maloney, balloon, and savary dilation of esophageal strictures. Gastrointest Endosc. 2000;51:460–2.
6. Piotet E, Escher A, Monnier P. Esophageal and pharyngeal strictures: Report on 1,862 endoscopic dilatations using the Savary-Gilliard technique. Eur Arch Oto-Rhino-Laryngology. 2008;265(3):357–64.
7. Langdon D. The rule of three in esophageal dilation. Gastrointest Endosc. 45:111.
8. Kozarek RA, Patterson DJ, Ball TJ et al. Esophageal dilation can be done safely using selective fluoroscopy and single dilating sessions. J Clin Gastroenterol [Internet]. 1995;20(3):184–8. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med3&NEWS=N&AN=7797822
9. Grooteman K V., Wong Kee Song LM, Vleggaar FP et al. Non-adherence to the rule of 3 does not increase the risk of??adverse events in esophageal dilation. Gastrointest Endosc. 2017;85(2):332–337.e1.
10. Cotton P, Eisen G, Aabakken L et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastroenterol Endosc. 2010;71(3):446–54.
11. Metman E, Lagasse J, D’Alteroche L et al. Risk Factors for Immediate Complications After Progressive Pneumatic Dilation for Achalasia. Am J Gastroenterol. 1999;94(5):1179–85.
12. Pereira-Lima JC, Ramires RP, Zamin I et al. Endoscopic dilation of benign esophageal strictures: Report on 1043 procedures. Am J Gastroenterol. 1999;94(6):1497–501.
13. Saeed ZA, Winchester CB, Ferro PS et al. Prospective randomized comparison of polyvinyl bougies and through-the-scope balloons for dilation of peptic strictures of the esophagus. Gastrointest Endosc. 1995;41(3):189–95.
14. Scolapio JS, Pasha TM, Gostout CJ et al. A randomized prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. Gastrointest Endosc. 1999;50(1):13–7.
15. Shemesh E, Czerniak A. Comparison between Savary-Gilliard and balloon dilatation of benign esophageal strictures. World J Surg. 1990;14(4):518–21.
16. Jethwa P, Lala A, Powell J et al. A regional audit of iatrogenic perforation of tumours of the oesophagus and cardia. Aliment Pharmacol Ther. 2005;21(4):479–84.
17. Broor SL, Raju GS, Bose PP et al. Long term results of endoscopic dilatation for corrosive oesophageal strictures. Gut [Internet]. 1993;34(11):1498–501. Available from: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=med3&NEWS=N&AN=8244131
18. de Wijkerslooth LRH, Vleggaar FP, Siersema PD. Endoscopic management of difficult or recurrent esophageal strictures. Am J Gastroenterol [Internet]. 2011;106(12):2080–91; quiz 2092. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22008891
Related articles

Letter

Refractory benign esophageal strictures – Cut or dilate?

DOI: 10.17235/reed.2022.9153/2022

Digestive Diseases Image

Esophageal perforation secondary to an arterial embolization device in scimitar syndrome

DOI: 10.17235/reed.2021.7832/2021

Digestive Diseases Image

Cervical arthrodesis penetrated into the esophagus detected by gastroscopy

DOI: 10.17235/reed.2019.6222/2019

Citation tools
Benites Goñi H, Arcana López R, Bustamante Robles K, Burgos García A, Cervera Caballero L, Vera Calderón A, et all. Factors associated with complications during endoscopic esophageal dilation. 5375/2017


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1173 visits.
This article has been downloaded 371 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 14/11/2017

Accepted: 25/01/2018

Online First: 19/03/2018

Published: 02/07/2018

Article revision time: 68 days

Article Online First time: 125 days

Article editing time: 230 days


Share
This article has been rated by 17 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology