Video Tip: Self-dilation of Refractory Esophageal Stricture | May 2023-Self-dilation of Refractory Esophageal Stricture

Self-dilation of Refractory Esophageal Stricture

Video Transcription

Video Summary

The video discusses the under-utilization of esophageal cell dilation as a treatment for refractory benign esophageal strictures. It highlights a case series from the Mayo Clinic where 52 patients with these strictures underwent self-dilation treatment, resulting in significant improvements. The median number of pre-treatment procedures reduced from 9.5 to 0, and the median time between interventions increased to 417 days. The video also mentions the factors contributing to the under-utilization of self-dilation, such as lack of awareness, guidelines, training, and research data. A multidisciplinary program would be required to implement this approach successfully. The video concludes with tips for the self-dilation technique and emphasizes the need for close follow-up.

Keywords

esophageal cell dilation

refractory benign esophageal strictures

self-dilation treatment

Mayo Clinic case series

under-utilization of self-dilation