Treatment of Esophageal Strictures with Savary-Guilliard Bougies

Sehmus Olmez; Bünyamin Sarıtaş; Süleyman Sayar; Banu Kara; Burçak Kayhan; Ersan Özaslan; Hasan Tankut Köseoğlu; Emin Altıparmak

doi:10.5798/dicletip.319796

Treatment of Esophageal Strictures with Savary-Guilliard Bougies

Abstract

Objective: Esophageal strictures may be caused by benign or malign disorders. Benign strictures are peptic stricture, Schatzki’s ring, esophageal web, and caustic ingestion, post-radiotherapy or post-surgical strictures. Dilatation with Savary-Guilliard bougies (SGD) is the most common endoscopic treatment of choice. In this study, we aimed to investigate the effectiveness of dilatation with Savary-Guilliard Bougies (SGB).
Methods: We retrospectively analyzed the cases treated with SGD in Ankara Numune Education and Research Hospital between October 2005 and June 2011. All the demographic and clinical datas were recorded as well as endoscopic dilatation count and complications.
Results: 73 patients (33(45.2%) males and 40 (54.8%) females) involved in the study. Mean age was 55,6±15,7(18-90) years old. A total of 536 dilatations of 73 patients performed in 169 sessions. Mean sessions of SGD 2,3±2.9(1-21) and dilatation counts were 7.4±9.4(1-65). The most seen etiologies were esophageal web (n=14, 19.2%), post-radiotherapy (n=14, 19.2%), anastomotic strictures (n=11, 15.1%) ingestion of corrosive substances (n=9, 12.3%) and malign strictures (n=8, 11%). The most seen benign causes and session counts were compared. Strictures secondary to radiotherapy and ingestion of caustic substances were the most common conditions treated with SGD. A single session was sufficient in strictures caused by esophageal web. No major complications such as perforation, major bleeding or sepsis were observed.
Conclusion: SGD for the treatment of esophageal benign strictures is a safe, cheap, easily performed method without need for fluoroscopy. While treatment of esophageal web is usually treated with a single session, repeated endoscopic dilation sessions are required for the strictures caused by radiotherapy and corrosive ingestion.

Keywords

Esophageal Strictures,Dilatation

References

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Details

Primary Language

English

Subjects

-

Journal Section

Research Article

Authors

Sehmus Olmez
Türkiye

Bünyamin Sarıtaş
Türkiye

Süleyman Sayar This is me
Türkiye

Banu Kara This is me
Türkiye

Burçak Kayhan This is me
Türkiye

Ersan Özaslan This is me
Türkiye

Hasan Tankut Köseoğlu This is me
Türkiye

Emin Altıparmak This is me
Türkiye

Publication Date

June 7, 2017

Submission Date

June 7, 2017

Acceptance Date

-

Published in Issue

Year 2017 Volume: 44 Number: 2

DOI

https://doi.org/10.5798/dicletip.319796

IZ

https://izlik.org/JA88KB44DF

Cite

RIS / Bibtex

APA

Olmez, S., Sarıtaş, B., Sayar, S., Kara, B., Kayhan, B., Özaslan, E., Köseoğlu, H. T., & Altıparmak, E. (2017). Treatment of Esophageal Strictures with Savary-Guilliard Bougies. Dicle Medical Journal, 44(2), 145-150. https://doi.org/10.5798/dicletip.319796

AMA

1.Olmez S, Sarıtaş B, Sayar S, et al. Treatment of Esophageal Strictures with Savary-Guilliard Bougies. Dicle Medical Journal. 2017;44(2):145-150. doi:10.5798/dicletip.319796

Chicago

Olmez, Sehmus, Bünyamin Sarıtaş, Süleyman Sayar, et al. 2017. “Treatment of Esophageal Strictures With Savary-Guilliard Bougies”. Dicle Medical Journal 44 (2): 145-50. https://doi.org/10.5798/dicletip.319796.

EndNote

Olmez S, Sarıtaş B, Sayar S, Kara B, Kayhan B, Özaslan E, Köseoğlu HT, Altıparmak E (June 1, 2017) Treatment of Esophageal Strictures with Savary-Guilliard Bougies. Dicle Medical Journal 44 2 145–150.

IEEE

[1]S. Olmez et al., “Treatment of Esophageal Strictures with Savary-Guilliard Bougies”, Dicle Medical Journal, vol. 44, no. 2, pp. 145–150, June 2017, doi: 10.5798/dicletip.319796.

ISNAD

Olmez, Sehmus - Sarıtaş, Bünyamin - Sayar, Süleyman - Kara, Banu - Kayhan, Burçak - Özaslan, Ersan - Köseoğlu, Hasan Tankut - Altıparmak, Emin. “Treatment of Esophageal Strictures With Savary-Guilliard Bougies”. Dicle Medical Journal 44/2 (June 1, 2017): 145-150. https://doi.org/10.5798/dicletip.319796.

JAMA

1.Olmez S, Sarıtaş B, Sayar S, Kara B, Kayhan B, Özaslan E, Köseoğlu HT, Altıparmak E. Treatment of Esophageal Strictures with Savary-Guilliard Bougies. Dicle Medical Journal. 2017;44:145–150.

MLA

Olmez, Sehmus, et al. “Treatment of Esophageal Strictures With Savary-Guilliard Bougies”. Dicle Medical Journal, vol. 44, no. 2, June 2017, pp. 145-50, doi:10.5798/dicletip.319796.

Vancouver

1.Sehmus Olmez, Bünyamin Sarıtaş, Süleyman Sayar, Banu Kara, Burçak Kayhan, Ersan Özaslan, Hasan Tankut Köseoğlu, Emin Altıparmak. Treatment of Esophageal Strictures with Savary-Guilliard Bougies. Dicle Medical Journal. 2017 Jun. 1;44(2):145-50. doi:10.5798/dicletip.319796