Esophagitis surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ajay Gade MD [2]]

Overview

Surgical intervention is not recommended for the management of esophagitis. However, esophageal dilation can be employed in cases of severe dysphagianot responding to medial therapy.

Surgery

Surgical intervention is not recommended for the management of esophagitis. However, esophageal dilation can be employed in cases of severe dysphagia not responding to medial therapy.^[1]^[2]^[3]

Esophageal Dilation

Dilation is considered safe and effective in relieving the dysphagia in patients with EoE.
Esophageal dilation has a very good acceptance in patients and it does not influence eosinophilic inflammation.
Patients with esophageal strictures can be treated by esophageal dilation.
Esophageal dilation is contraindicated in patients with endoscopic signs of acute inflammation.
Postprocedural pain is very common in patients with esophageal dilation.
The use of swallowed topical steroids before dilation reduces the risk of endoscopic complications such as bleeding, perforation, and postprocedural pain.
Delaying the procedure in patients with strictures can lead to acute food bolus impactions.
Food impactions should be dealt with carefully as they can cause spontaneous esophageal perforation and procedure-induced complications.

References

↑ Lew RJ, Kochman ML (2002). “A review of endoscopic methods of esophageal dilation”. J. Clin. Gastroenterol. 35 (2): 117–26. PMID 12172355.
↑ Fry LC, Mönkemüller K, Neumann H, Schulz HU, Malfertheiner P (2007). “Incidence, clinical management and outcomes of esophageal perforations after endoscopic dilatation”. Z Gastroenterol. 45 (11): 1180–4. doi:10.1055/s-2007-963558. PMID 18027320.
↑ Egan JV, Baron TH, Adler DG, Davila R, Faigel DO, Gan SL, Hirota WK, Leighton JA, Lichtenstein D, Qureshi WA, Rajan E, Shen B, Zuckerman MJ, VanGuilder T, Fanelli RD (2006). “Esophageal dilation”. Gastrointest. Endosc. 63 (6): 755–60. doi:10.1016/j.gie.2006.02.031. PMID 16650533.

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[pmid12172355-1] Lew RJ, Kochman ML (2002). “A review of endoscopic methods of esophageal dilation”. J. Clin. Gastroenterol. 35 (2): 117–26. PMID 12172355.

[pmid18027320-2] Fry LC, Mönkemüller K, Neumann H, Schulz HU, Malfertheiner P (2007). “Incidence, clinical management and outcomes of esophageal perforations after endoscopic dilatation”. Z Gastroenterol. 45 (11): 1180–4. doi:10.1055/s-2007-963558. PMID 18027320.

[pmid16650533-3] Egan JV, Baron TH, Adler DG, Davila R, Faigel DO, Gan SL, Hirota WK, Leighton JA, Lichtenstein D, Qureshi WA, Rajan E, Shen B, Zuckerman MJ, VanGuilder T, Fanelli RD (2006). “Esophageal dilation”. Gastrointest. Endosc. 63 (6): 755–60. doi:10.1016/j.gie.2006.02.031. PMID 16650533.

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