Plummer-Vinson syndrome surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Akshun Kalia M.B.B.S.[2]

Overview

Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. However, procedure such as mechanical dilatation with the use of an endoscope may be used in patients who are unresponsive to medical therapy, have multiple obstructive esophageal webs and long-standing dysphagia.

Surgery

Surgery is not the first-line treatment option for patients with Plummer-Vinson syndrome. Mechanical dilatation with the use of an endoscope may be used to disrupt esophageal webs and allow normal swallowing and passage of food. In addition, needle-knife electro incision may be used as an alternative to endoscopic dilation. Mechanical dilatation is usually reserved for patients with either:^[1]^[2]^[3]^[4]

Long-standing dysphagia
Multiple obstructive esophageal webs
Patients unresponsive to medical therapy

References

↑ Enomoto M, Kohmoto M, Arafa UA; et al. (2007). “Plummer-Vinson syndrome successfully treated by endoscopic dilatation”. J. Gastroenterol. Hepatol. 22 (12): 2348–51. doi:10.1111/j.1440-1746.2006.03430.x. PMID 18031398.
↑ Huynh PT, de Lange EE, Shaffer HA (1995). “Symptomatic webs of the upper esophagus: treatment with fluoroscopically guided balloon dilation”. Radiology. 196 (3): 789–92. doi:10.1148/radiology.196.3.7644644. PMID 7644644.
↑ Lindgren S (1991). “Endoscopic dilatation and surgical myectomy of symptomatic cervical esophageal webs”. Dysphagia. 6 (4): 235–8. PMID 1778103.
↑ Butori M, Mahmoudi S, Dugelay-Ecochard E, Belarbi N, Bellaïche M, Hugot JP, Viala J (2015). “Plummer-Vinson Syndrome in Children”. J. Pediatr. Gastroenterol. Nutr. 61 (5): 547–52. doi:10.1097/MPG.0000000000000842. PMID 26502163.

[pmid18031398-1] Enomoto M, Kohmoto M, Arafa UA; et al. (2007). “Plummer-Vinson syndrome successfully treated by endoscopic dilatation”. J. Gastroenterol. Hepatol. 22 (12): 2348–51. doi:10.1111/j.1440-1746.2006.03430.x. PMID 18031398.

[pmid7644644-2] Huynh PT, de Lange EE, Shaffer HA (1995). “Symptomatic webs of the upper esophagus: treatment with fluoroscopically guided balloon dilation”. Radiology. 196 (3): 789–92. doi:10.1148/radiology.196.3.7644644. PMID 7644644.

[pmid1778103-3] Lindgren S (1991). “Endoscopic dilatation and surgical myectomy of symptomatic cervical esophageal webs”. Dysphagia. 6 (4): 235–8. PMID 1778103.

[pmid26502163-4] Butori M, Mahmoudi S, Dugelay-Ecochard E, Belarbi N, Bellaïche M, Hugot JP, Viala J (2015). “Plummer-Vinson Syndrome in Children”. J. Pediatr. Gastroenterol. Nutr. 61 (5): 547–52. doi:10.1097/MPG.0000000000000842. PMID 26502163.

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