Malignant esophagogastric junction obstruction

Efficacy of balloon dilation combined with chemotherapy and/or radiation therapy

Gi Young Ko, Ho Young Song, Heuk Jin Hong, Kyu Bo Sung, Tae-Seok Seo, Hyun Ki Yoon

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: To assess the efficacy of balloon dilation combined with chemotherapy and/or radiation therapy for palliation of dysphagia due to malignant esophagogastric junction strictures. Methods: Fluoroscopically guided balloon dilation was attempted in 20 patients. The causes of strictures were gastric adenocarcinoma (n = 10) and esophageal squamous cell carcinoma (n = 10). Scheduled chemotherapy and/or radiation therapy followed balloon dilation in all patients. Results: There were no technical failures or major complications. After balloon dilation, 15 (75%) patients showed improvement of dysphagia. No patient complained of reflux esophagitis during the follow-up period. Among the 15 patients, seven needed no further treatment for palliation of dysphagia until their deaths. The remaining eight patients underwent repeat balloon dilation (n = 4) or stent placement (n = 4) 3-43 weeks (mean 15 weeks) after the initial balloon dilation because of recurrent dysphagia. Conclusion: Balloon dilation combined with chemotherapy and/or radiation therapy seems to be an easy and reasonably effective palliative treatment for malignant esophagogastric strictures.

Original languageEnglish
Pages (from-to)141-145
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume26
Issue number2
DOIs
Publication statusPublished - 2003 Mar 1
Externally publishedYes

Fingerprint

Esophagogastric Junction
Dilatation
Radiotherapy
Drug Therapy
Deglutition Disorders
Pathologic Constriction
Peptic Esophagitis
Palliative Care
Stents
Stomach
Adenocarcinoma

Keywords

  • Esophagus, interventional procedure
  • Esophagus, neoplasms
  • Esophagus, stenosis or obstruction
  • Gastrointestinal tract, interventional procedure

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Malignant esophagogastric junction obstruction : Efficacy of balloon dilation combined with chemotherapy and/or radiation therapy. / Ko, Gi Young; Song, Ho Young; Hong, Heuk Jin; Sung, Kyu Bo; Seo, Tae-Seok; Yoon, Hyun Ki.

In: CardioVascular and Interventional Radiology, Vol. 26, No. 2, 01.03.2003, p. 141-145.

Research output: Contribution to journalArticle

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