Management of complete esophageal stricture after treatment of head and neck cancer using combined anterograde retrograde esophageal dilation

Jonathan Fowlkes, Philip B. Zald, Peter Andersen

Research output: Contribution to journalReview article

12 Scopus citations


Background Complete esophageal stricture is a difficult problem to manage. There is limited literature to support clinical decision-making. To evaluate outcomes and efficacy, we performed a retrospective medical chart review of patients who received combined anterograde retrograde esophageal dilation (CARD) between 2002 and 2009 at our institution. Methods Fifteen patients were identified who developed a stricture requiring CARD after treatment for head and neck cancers. Outcomes were pretreatment and posttreatment diet, gastrostomy tube status, and operative complications. Results Six of 15 patients were gastrostomy tube-free at last follow-up and 11 of 15 patients were taking oral nutrition. There were 4 complications. One patient died. Two gastrostomy tube site complications occurred. One patient sustained a dental injury. Conclusion CARD offers benefit to most patients. Despite risks associated with the procedure, CARD should be considered by the clinician and patient in management of complete esophageal stricture.

Original languageEnglish (US)
Pages (from-to)821-825
Number of pages5
JournalHead and Neck
Issue number6
StatePublished - Jun 1 2012



  • combined anterograde retrograde dilation (CARD)
  • esophageal dilation
  • esophageal stricture
  • neck cancer

ASJC Scopus subject areas

  • Otorhinolaryngology

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