What question did this study set out to answer?

To evaluate the safety, technical success, and clinical utility of esophageal dilation to allow complete endoscopic ultrasound (EUS) staging in patients with malignant esophageal strictures.

October 1, 2000The American Journal of Gastroenterology

Esophageal Dilation for Endosonographic Evaluation of Malignant Esophageal Strictures Is Safe and Effective

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Authors

PPPatrick PfauUniversity of Wisconsin–Madison GGGregory G. GinsbergCalifornia University of Pennsylvania RLRonald J. LewHospital of the University of Pennsylvania

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Implication

Prospective cohort study demonstrates high success and safety of esophageal dilation in malignant strictures, indicating enhanced endoscopic ultrasound staging accuracy.

Key Points

To evaluate the safety, technical success, and clinical utility of esophageal dilation to allow complete endoscopic ultrasound (EUS) staging in patients with malignant esophageal strictures.
Prospective cohort study of 267 consecutive patients undergoing EUS for esophageal carcinoma staging over a 66-month period at a single institution.
Assessed the frequency of required dilation, technical success of echoendoscope passage, adverse events, and resulting TNM staging.
Dilation was required in 30.3% (81/267) of patients, enabling successful echoendoscope passage across the stricture in 85.2% (69/81) overall and 94.0% (63/67) when dilated to ≥14 mm.
Zero procedural complications occurred as a result of the step-wise dilations performed to complete EUS.
Post-dilation EUS tumor staging identified T2 in 14.8%, T3 in 56.8%, and T4 in 21.0%; nodal staging showed N0 in 14.6% and N1 in 75.3%; distant metastasis (M1) was present in 9.9%.

Cite This Study

Pfau et al. (2000) studied this question.

synapsesocial.com/papers/6a81d5ddf34fcd4e7777750a https://doi.org/10.1111/j.1572-0241.2000.02309.x

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Implication

Prospective cohort study demonstrates high success and safety of esophageal dilation in malignant strictures, indicating enhanced endoscopic ultrasound staging accuracy.

Esophageal Dilation for Endosonographic Evaluation of Malignant Esophageal Strictures Is Safe and Effective

Discussion

Member takes

Implication

Key Points

Cite This Study

Esophageal Dilation for Endosonographic Evaluation of Malignant Esophageal Strictures Is Safe and Effective

Discussion

Member takes

Implication

Key Points

Cite This Study

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