Empiric dilation in non-obstructive dysphagia

Jeffrey S. Olson, David Lieberman, Amnon Sonnenberg

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Aims: To study practice patterns in the management of non-obstructive dysphagia among U.S. gastroenterologists. Data source: Endoscopic data repository from 100 U.S. gastroenterology practices during 1998-2003 (Clinical Outcomes Research Initiative, CORI). Methods: All initial esophago-gastro- duodenoscopies (EGDs) performed in adult patients between 1998 and 2003 (n = 181,261) were evaluated for demographic data, endoscopic findings, and the occurrence of esophageal dilation. A case population of 7256 patients receiving empiric dilation for dysphagia for non-obstructive dysphagia was compared to a control population of 5764 patients with dilation for peptic strictures. Results: The group of patients with empiric dilation was younger than the group of patients with peptic strictures and contained more women. Reflux symptoms and erosive esophagitis were less frequent in the empiric dilation group than in the strictures group. Empiric dilations were mostly performed using rubber bougies, whereas strictures were most frequently dilated over a guidewire. For all types of dilators, the diameters were significantly larger in empiric than stricture dilation. Repeat dilations within 1 year after the initial procedure occurred in 4% of the empiric and 13% of the stricture dilations. Conclusions: Compared with the dilation of peptic strictures, empiric dilation of non-obstructive dysphagia is a more common clinical practice that is performed in a different patient population and utilizes different techniques.

Original languageEnglish (US)
Pages (from-to)1192-1197
Number of pages6
JournalDigestive Diseases and Sciences
Volume53
Issue number5
DOIs
StatePublished - May 2008

Fingerprint

Deglutition Disorders
Dilatation
Pathologic Constriction
Digestion
Duodenoscopy
Population
Esophagitis
Information Storage and Retrieval
Rubber
Gastroenterology
Demography
Outcome Assessment (Health Care)

Keywords

  • Dysphagia
  • Esophageal dilation
  • Esophageal ring
  • Gastro-esophageal reflux disease
  • Peptic stricture
  • Schatzki ring

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Empiric dilation in non-obstructive dysphagia. / Olson, Jeffrey S.; Lieberman, David; Sonnenberg, Amnon.

In: Digestive Diseases and Sciences, Vol. 53, No. 5, 05.2008, p. 1192-1197.

Research output: Contribution to journalArticle

Olson, Jeffrey S. ; Lieberman, David ; Sonnenberg, Amnon. / Empiric dilation in non-obstructive dysphagia. In: Digestive Diseases and Sciences. 2008 ; Vol. 53, No. 5. pp. 1192-1197.
@article{8f8ad1fd06634e2ab5dabd2868ebe8bc,
title = "Empiric dilation in non-obstructive dysphagia",
abstract = "Aims: To study practice patterns in the management of non-obstructive dysphagia among U.S. gastroenterologists. Data source: Endoscopic data repository from 100 U.S. gastroenterology practices during 1998-2003 (Clinical Outcomes Research Initiative, CORI). Methods: All initial esophago-gastro- duodenoscopies (EGDs) performed in adult patients between 1998 and 2003 (n = 181,261) were evaluated for demographic data, endoscopic findings, and the occurrence of esophageal dilation. A case population of 7256 patients receiving empiric dilation for dysphagia for non-obstructive dysphagia was compared to a control population of 5764 patients with dilation for peptic strictures. Results: The group of patients with empiric dilation was younger than the group of patients with peptic strictures and contained more women. Reflux symptoms and erosive esophagitis were less frequent in the empiric dilation group than in the strictures group. Empiric dilations were mostly performed using rubber bougies, whereas strictures were most frequently dilated over a guidewire. For all types of dilators, the diameters were significantly larger in empiric than stricture dilation. Repeat dilations within 1 year after the initial procedure occurred in 4{\%} of the empiric and 13{\%} of the stricture dilations. Conclusions: Compared with the dilation of peptic strictures, empiric dilation of non-obstructive dysphagia is a more common clinical practice that is performed in a different patient population and utilizes different techniques.",
keywords = "Dysphagia, Esophageal dilation, Esophageal ring, Gastro-esophageal reflux disease, Peptic stricture, Schatzki ring",
author = "Olson, {Jeffrey S.} and David Lieberman and Amnon Sonnenberg",
year = "2008",
month = "5",
doi = "10.1007/s10620-007-0024-x",
language = "English (US)",
volume = "53",
pages = "1192--1197",
journal = "American Journal of Digestive Diseases and Nutrition",
issn = "0163-2116",
publisher = "Plenum Publishers",
number = "5",

}

TY - JOUR

T1 - Empiric dilation in non-obstructive dysphagia

AU - Olson, Jeffrey S.

AU - Lieberman, David

AU - Sonnenberg, Amnon

PY - 2008/5

Y1 - 2008/5

N2 - Aims: To study practice patterns in the management of non-obstructive dysphagia among U.S. gastroenterologists. Data source: Endoscopic data repository from 100 U.S. gastroenterology practices during 1998-2003 (Clinical Outcomes Research Initiative, CORI). Methods: All initial esophago-gastro- duodenoscopies (EGDs) performed in adult patients between 1998 and 2003 (n = 181,261) were evaluated for demographic data, endoscopic findings, and the occurrence of esophageal dilation. A case population of 7256 patients receiving empiric dilation for dysphagia for non-obstructive dysphagia was compared to a control population of 5764 patients with dilation for peptic strictures. Results: The group of patients with empiric dilation was younger than the group of patients with peptic strictures and contained more women. Reflux symptoms and erosive esophagitis were less frequent in the empiric dilation group than in the strictures group. Empiric dilations were mostly performed using rubber bougies, whereas strictures were most frequently dilated over a guidewire. For all types of dilators, the diameters were significantly larger in empiric than stricture dilation. Repeat dilations within 1 year after the initial procedure occurred in 4% of the empiric and 13% of the stricture dilations. Conclusions: Compared with the dilation of peptic strictures, empiric dilation of non-obstructive dysphagia is a more common clinical practice that is performed in a different patient population and utilizes different techniques.

AB - Aims: To study practice patterns in the management of non-obstructive dysphagia among U.S. gastroenterologists. Data source: Endoscopic data repository from 100 U.S. gastroenterology practices during 1998-2003 (Clinical Outcomes Research Initiative, CORI). Methods: All initial esophago-gastro- duodenoscopies (EGDs) performed in adult patients between 1998 and 2003 (n = 181,261) were evaluated for demographic data, endoscopic findings, and the occurrence of esophageal dilation. A case population of 7256 patients receiving empiric dilation for dysphagia for non-obstructive dysphagia was compared to a control population of 5764 patients with dilation for peptic strictures. Results: The group of patients with empiric dilation was younger than the group of patients with peptic strictures and contained more women. Reflux symptoms and erosive esophagitis were less frequent in the empiric dilation group than in the strictures group. Empiric dilations were mostly performed using rubber bougies, whereas strictures were most frequently dilated over a guidewire. For all types of dilators, the diameters were significantly larger in empiric than stricture dilation. Repeat dilations within 1 year after the initial procedure occurred in 4% of the empiric and 13% of the stricture dilations. Conclusions: Compared with the dilation of peptic strictures, empiric dilation of non-obstructive dysphagia is a more common clinical practice that is performed in a different patient population and utilizes different techniques.

KW - Dysphagia

KW - Esophageal dilation

KW - Esophageal ring

KW - Gastro-esophageal reflux disease

KW - Peptic stricture

KW - Schatzki ring

UR - http://www.scopus.com/inward/record.url?scp=41949141037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41949141037&partnerID=8YFLogxK

U2 - 10.1007/s10620-007-0024-x

DO - 10.1007/s10620-007-0024-x

M3 - Article

C2 - 17932762

AN - SCOPUS:41949141037

VL - 53

SP - 1192

EP - 1197

JO - American Journal of Digestive Diseases and Nutrition

JF - American Journal of Digestive Diseases and Nutrition

SN - 0163-2116

IS - 5

ER -