Catherine J Rees1, Taylor Fordham, Peter C Belafsky. 1. Department of Otolaryngology, Center for Voice and Swallowing Disorders,Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA. crees@wfubmc.edu
Abstract
OBJECTIVE: To describe the safety of transnasal balloon dilation of the esophagus. DESIGN: Retrospective case series. SETTING: Two tertiary care institutions. PATIENTS: All patients undergoing transnasal balloon dilation of the esophagus. MAIN OUTCOME MEASURE: Complications. RESULTS: Fifty-four transnasal esophageal balloon dilations were performed in 38 patients. The mean age of the cohort was 65 years (range, 13-88 years). Twenty-nine patients were male (76%). Twenty procedures were performed using only topical anesthesia in the office setting. Seven patients (18%) were postlaryngectomy, and 15 patients (39%) had a history of head and neck radiation therapy. The upper esophageal sphincter (UES) was the most frequent dilation site (63%), followed by proximal/mid esophagus (26%), lower esophageal sphincter (LES) (7.4%), and both the UES and LES (3.7%). Indications included cricopharyngeal dysfunction, benign stricture, web, and Schatzki ring. Two procedures (3.7%) were aborted secondary to self-limited laryngospasm or gagging. There were no clinically significant complications. CONCLUSIONS: Transnasal esophageal balloon dilation can be performed in unsedated or sedated patients with a very low complication rate. The procedure is well tolerated in 96% of patients. This technique, formerly available only through larger caliber oral gastroscopes and under sedation, allows for office-based esophageal balloon dilation in an otolaryngology practice.
OBJECTIVE: To describe the safety of transnasal balloon dilation of the esophagus. DESIGN: Retrospective case series. SETTING: Two tertiary care institutions. PATIENTS: All patients undergoing transnasal balloon dilation of the esophagus. MAIN OUTCOME MEASURE: Complications. RESULTS: Fifty-four transnasal esophageal balloon dilations were performed in 38 patients. The mean age of the cohort was 65 years (range, 13-88 years). Twenty-nine patients were male (76%). Twenty procedures were performed using only topical anesthesia in the office setting. Seven patients (18%) were postlaryngectomy, and 15 patients (39%) had a history of head and neck radiation therapy. The upper esophageal sphincter (UES) was the most frequent dilation site (63%), followed by proximal/mid esophagus (26%), lower esophageal sphincter (LES) (7.4%), and both the UES and LES (3.7%). Indications included cricopharyngeal dysfunction, benign stricture, web, and Schatzki ring. Two procedures (3.7%) were aborted secondary to self-limited laryngospasm or gagging. There were no clinically significant complications. CONCLUSIONS:Transnasal esophageal balloon dilation can be performed in unsedated or sedated patients with a very low complication rate. The procedure is well tolerated in 96% of patients. This technique, formerly available only through larger caliber oral gastroscopes and under sedation, allows for office-based esophageal balloon dilation in an otolaryngology practice.
Authors: Samuel Lim; Hasan Nadim Haboubi; Simon H C Anderson; Patrick Dawson; Ana Paula Machado; Edna Mangsat; Sara Santos; Terry Wong; Sebastian Zeki; Jason Dunn Journal: Frontline Gastroenterol Date: 2022-05-31
Authors: Anouk S Schimberg; David J Wellenstein; Henrieke W Schutte; J Honings; Henri A M Marres; Robert P Takes; Guido B van den Broek Journal: Dysphagia Date: 2021-03-10 Impact factor: 3.438