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. 2004 Feb;53(Suppl 1):i1–i6. doi: 10.1136/gut.53.suppl_1.i1

Guidelines on the use of oesophageal dilatation in clinical practice

S Riley, S Attwood
PMCID: PMC1867767  PMID: 14724139

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barkin J. S., Guelrud M., Reiner D. K., Goldberg R. I., Phillips R. S. Forceful balloon dilation: an outpatient procedure for achalasia. Gastrointest Endosc. 1990 Mar-Apr;36(2):123–126. doi: 10.1016/s0016-5107(90)70964-9. [DOI] [PubMed] [Google Scholar]
  2. Bell G. D., McCloy R. F., Charlton J. E., Campbell D., Dent N. A., Gear M. W., Logan R. F., Swan C. H. Recommendations for standards of sedation and patient monitoring during gastrointestinal endoscopy. Gut. 1991 Jul;32(7):823–827. doi: 10.1136/gut.32.7.823. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Borotto E., Gaudric M., Danel B., Samama J., Quartier G., Chaussade S., Couturier D. Risk factors of oesophageal perforation during pneumatic dilatation for achalasia. Gut. 1996 Jul;39(1):9–12. doi: 10.1136/gut.39.1.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Bradpiece H. A., Galland R. B., Murray J., Spencer J. Esophageal dilation as an outpatient procedure. Surg Gynecol Obstet. 1988 Jul;167(1):45–48. [PubMed] [Google Scholar]
  5. Cox J. G., Winter R. K., Maslin S. C., Dakkak M., Jones R., Buckton G. K., Hoare R. C., Dyet J. F., Bennett J. R. Balloon or bougie for dilatation of benign esophageal stricture? Dig Dis Sci. 1994 Apr;39(4):776–781. doi: 10.1007/BF02087423. [DOI] [PubMed] [Google Scholar]
  6. Csendes A., Braghetto I., Henríquez A., Cortés C. Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia. Gut. 1989 Mar;30(3):299–304. doi: 10.1136/gut.30.3.299. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Eccles M., Clapp Z., Grimshaw J., Adams P. C., Higgins B., Purves I., Russell I. North of England evidence based guidelines development project: methods of guideline development. BMJ. 1996 Mar 23;312(7033):760–762. doi: 10.1136/bmj.312.7033.760. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Eckardt V. F., Aignherr C., Bernhard G. Predictors of outcome in patients with achalasia treated by pneumatic dilation. Gastroenterology. 1992 Dec;103(6):1732–1738. doi: 10.1016/0016-5085(92)91428-7. [DOI] [PubMed] [Google Scholar]
  9. Eckardt V. F., Kanzler G., Willems D. Single dilation of symptomatic Schatzki rings. A prospective evaluation of its effectiveness. Dig Dis Sci. 1992 Apr;37(4):577–582. doi: 10.1007/BF01307582. [DOI] [PubMed] [Google Scholar]
  10. Fellows I. W., Ogilvie A. L., Atkinson M. Pneumatic dilatation in achalasia. Gut. 1983 Nov;24(11):1020–1023. doi: 10.1136/gut.24.11.1020. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Fleischer D. E., Benjamin S. B., Cattau E. L., Jr, Collen M. J., Lewis J. H., Jaffee M. H., Zeman R. K. A marked guide wire facilitates esophageal dilatation. Am J Gastroenterol. 1989 Apr;84(4):359–361. [PubMed] [Google Scholar]
  12. Gideon R. M., Castell D. O., Yarze J. Prospective randomized comparison of pneumatic dilatation technique in patients with idiopathic achalasia. Dig Dis Sci. 1999 Sep;44(9):1853–1857. doi: 10.1023/a:1018898824135. [DOI] [PubMed] [Google Scholar]
  13. Grimshaw J., Eccles M., Russell I. Developing clinically valid practice guidelines. J Eval Clin Pract. 1995 Sep;1(1):37–48. doi: 10.1111/j.1365-2753.1995.tb00006.x. [DOI] [PubMed] [Google Scholar]
  14. Grobe J. L., Kozarek R. A., Sanowski R. A. Self-bougienage in the treatment of benign esophageal stricture. J Clin Gastroenterol. 1984 Apr;6(2):109–112. doi: 10.1097/00004836-198404000-00002. [DOI] [PubMed] [Google Scholar]
  15. Hernandez L. V., Jacobson J. W., Harris M. S., Hernandez L. J. Comparison among the perforation rates of Maloney, balloon, and savary dilation of esophageal strictures. Gastrointest Endosc. 2000 Apr;51(4 Pt 1):460–462. doi: 10.1016/s0016-5107(00)70448-2. [DOI] [PubMed] [Google Scholar]
  16. Kadakia S. C., Parker A., Carrougher J. G., Shaffer R. T. Esophageal dilation with polyvinyl bougies, using a marked guidewire without the aid of fluoroscopy: an update. Am J Gastroenterol. 1993 Sep;88(9):1381–1386. [PubMed] [Google Scholar]
  17. Kadakia S. C., Wong R. K. Graded pneumatic dilation using Rigiflex achalasia dilators in patients with primary esophageal achalasia. Am J Gastroenterol. 1993 Jan;88(1):34–38. [PubMed] [Google Scholar]
  18. Katz P. O., Gilbert J., Castell D. O. Pneumatic dilatation is effective long-term treatment for achalasia. Dig Dis Sci. 1998 Sep;43(9):1973–1977. doi: 10.1023/a:1018886626144. [DOI] [PubMed] [Google Scholar]
  19. Khan A. A., Shah S. W., Alam A., Butt A. K., Shafqat F., Castell D. O. Pneumatic balloon dilation in achalasia: a prospective comparison of balloon distention time. Am J Gastroenterol. 1998 Jul;93(7):1064–1067. doi: 10.1111/j.1572-0241.1998.00330.x. [DOI] [PubMed] [Google Scholar]
  20. Kozarek R. A., Patterson D. J., Ball T. J., Gelfand M. G., Jiranek G. E., Bredfeldt J. E., Brandabur J. J., Wolfsen H. W., Raltz S. L. Esophageal dilation can be done safely using selective fluoroscopy and single dilating sessions. J Clin Gastroenterol. 1995 Apr;20(3):184–188. doi: 10.1097/00004836-199504000-00003. [DOI] [PubMed] [Google Scholar]
  21. Lambroza A., Schuman R. W. Pneumatic dilation for achalasia without fluoroscopic guidance: safety and efficacy. Am J Gastroenterol. 1995 Aug;90(8):1226–1229. [PubMed] [Google Scholar]
  22. Langdon D. F. The rule of three in esophageal dilation. Gastrointest Endosc. 1997 Jan;45(1):111–111. doi: 10.1016/s0016-5107(97)70320-1. [DOI] [PubMed] [Google Scholar]
  23. McClave S. A., Brady P. G., Wright R. A., Goldschmid S., Minocha A. Does fluoroscopic guidance for Maloney esophageal dilation impact on the clinical endpoint of therapy: relief of dysphagia and achievement of luminal patency. Gastrointest Endosc. 1996 Feb;43(2 Pt 1):93–97. doi: 10.1016/s0016-5107(06)80106-9. [DOI] [PubMed] [Google Scholar]
  24. McClave S. A., Wright R. A., Brady P. G. Prospective randomized study of Maloney esophageal dilation--blinded versus fluoroscopic guidance. Gastrointest Endosc. 1990 May-Jun;36(3):272–275. doi: 10.1016/s0016-5107(90)71022-x. [DOI] [PubMed] [Google Scholar]
  25. Mearin F., Armengol J. R., Chicharro L., Papo M., Balboa A., Malagelada J. R. Forceful dilatation under endoscopic control in the treatment of achalasia: a randomised trial of pneumatic versus metallic dilator. Gut. 1994 Oct;35(10):1360–1362. doi: 10.1136/gut.35.10.1360. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. Metman E. H., Lagasse J. P., d'Alteroche L., Picon L., Scotto B., Barbieux J. P. Risk factors for immediate complications after progressive pneumatic dilation for achalasia. Am J Gastroenterol. 1999 May;94(5):1179–1185. doi: 10.1111/j.1572-0241.1999.01062.x. [DOI] [PubMed] [Google Scholar]
  27. Muehldorfer S. M., Hahn E. G., Ell C. High- and low-compliance balloon dilators in patients with achalasia: a randomized prospective comparative trial. Gastrointest Endosc. 1996 Oct;44(4):398–403. doi: 10.1016/s0016-5107(96)70088-3. [DOI] [PubMed] [Google Scholar]
  28. Nair L. A., Reynolds J. C., Parkman H. P., Ouyang A., Strom B. L., Rosato E. F., Cohen S. Complications during pneumatic dilation for achalasia or diffuse esophageal spasm. Analysis of risk factors, early clinical characteristics, and outcome. Dig Dis Sci. 1993 Oct;38(10):1893–1904. doi: 10.1007/BF01296115. [DOI] [PubMed] [Google Scholar]
  29. Ogilvie A. L., Ferguson R., Atkinson M. Outlook with conservative treatment of peptic oesophageal stricture. Gut. 1980 Jan;21(1):23–25. doi: 10.1136/gut.21.1.23. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Patterson D. J., Graham D. Y., Smith J. L., Schwartz J. T., Alpert E., Lanza F. L., Cain G. D. Natural history of benign esophageal stricture treated by dilatation. Gastroenterology. 1983 Aug;85(2):346–350. [PubMed] [Google Scholar]
  31. Quine M. A., Bell G. D., McCloy R. F., Charlton J. E., Devlin H. B., Hopkins A. Prospective audit of upper gastrointestinal endoscopy in two regions of England: safety, staffing, and sedation methods. Gut. 1995 Mar;36(3):462–467. doi: 10.1136/gut.36.3.462. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Quine M. A., Bell G. D., McCloy R. F., Matthews H. R. Prospective audit of perforation rates following upper gastrointestinal endoscopy in two regions of England. Br J Surg. 1995 Apr;82(4):530–533. doi: 10.1002/bjs.1800820430. [DOI] [PubMed] [Google Scholar]
  33. Saeed Z. A., Winchester C. B., Ferro P. S., Michaletz P. A., Schwartz J. T., Graham D. Y. Prospective randomized comparison of polyvinyl bougies and through-the-scope balloons for dilation of peptic strictures of the esophagus. Gastrointest Endosc. 1995 Mar;41(3):189–195. doi: 10.1016/s0016-5107(95)70336-5. [DOI] [PubMed] [Google Scholar]
  34. Scolapio J. S., Pasha T. M., Gostout C. J., Mahoney D. W., Zinsmeister A. R., Ott B. J., Lindor K. D. A randomized prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. Gastrointest Endosc. 1999 Jul;50(1):13–17. doi: 10.1016/s0016-5107(99)70337-8. [DOI] [PubMed] [Google Scholar]
  35. Smith P. M., Kerr G. D., Cockel R., Ross B. A., Bate C. M., Brown P., Dronfield M. W., Green J. R., Hislop W. S., Theodossi A. A comparison of omeprazole and ranitidine in the prevention of recurrence of benign esophageal stricture. Restore Investigator Group. Gastroenterology. 1994 Nov;107(5):1312–1318. doi: 10.1016/0016-5085(94)90532-0. [DOI] [PubMed] [Google Scholar]
  36. Stark G. A., Castell D. O., Richter J. E., Wu W. C. Prospective randomized comparison of Brown-McHardy and microvasive balloon dilators in treatment of achalasia. Am J Gastroenterol. 1990 Oct;85(10):1322–1326. [PubMed] [Google Scholar]
  37. Tulman A. B., Boyce H. W., Jr Complications of esophageal dilation and guidelines for their prevention. Gastrointest Endosc. 1981 Nov;27(4):229–234. doi: 10.1016/s0016-5107(81)73230-9. [DOI] [PubMed] [Google Scholar]
  38. Vaezi M. F. Achalasia: diagnosis and management. Semin Gastrointest Dis. 1999 Jul;10(3):103–112. [PubMed] [Google Scholar]
  39. Vaezi M. F., Richter J. E., Wilcox C. M., Schroeder P. L., Birgisson S., Slaughter R. L., Koehler R. E., Baker M. E. Botulinum toxin versus pneumatic dilatation in the treatment of achalasia: a randomised trial. Gut. 1999 Feb;44(2):231–239. doi: 10.1136/gut.44.2.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  40. Watson A. Reflux stricture of the oesophagus. Br J Surg. 1987 Jun;74(6):443–448. doi: 10.1002/bjs.1800740603. [DOI] [PubMed] [Google Scholar]
  41. Wesdorp I. C., Bartelsman J. F., den Hartog Jager F. C., Huibregtse K., Tytgat G. N. Results of conservative treatment of benign esophageal strictures: a follow-up study in 100 patients. Gastroenterology. 1982 Mar;82(3):487–493. [PubMed] [Google Scholar]
  42. Yamamoto H., Hughes R. W., Jr, Schroeder K. W., Viggiano T. R., DiMagno E. P. Treatment of benign esophageal stricture by Eder-Puestow or balloon dilators: a comparison between randomized and prospective nonrandomized trials. Mayo Clin Proc. 1992 Mar;67(3):228–236. doi: 10.1016/s0025-6196(12)60097-4. [DOI] [PubMed] [Google Scholar]

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