caa a22 4500 445797401 CHVBK 20180317145130.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s10620-010-1503-z doi (NATIONALLICENCE)springer-10.1007/s10620-010-1503-z Self Dilation as a Treatment for Resistant Benign Esophageal Strictures: Outcome, Technique, and Quality of Life Assessment [Elektronische Daten] [Ivana Dzeletovic, David Fleischer, Michael Crowell, Hack Kim, Lucinda Harris, George Burdick, Roxane McLaughlin, Robert Spratley Jr., Virender Sharma] Background: Resistant benign esophageal strictures can have a negative impact on patients' quality of life. A portion of these patients require frequent physician performed dilations, leading to numerous interactions with their attendant inconvenience and sense of dependence. This study demonstrates the efficacy, safety and effect on quality of life of this under-utilized technique. Methods: A retrospective chart review was performed for all patients undergoing esophageal self dilation at our institution between January 2003 and November 2009. The impact on quality of life was evaluated using a telephone questionnaire specifically designed to explore emotional, social and financial impacts. Results: Of the 11 patients who initially began self dilation for non-malignant strictures, nine are included in this study. Median follow-up was 35.4months (range 6-168). No significant complications were reported. When asked to compare self dilation with physician performed dilation a large proportion of patients reported financial benefits, and a majority reported being more socially active. Overall quality of life improvement was reported by almost all of the participants in the study. Global scores for dysphagia and overall quality of life were significantly improved under conditions of self dilation versus physician performed dilation (P=0.008 and P=0.016, respectively). Conclusions: Our results suggest that esophageal self dilation can be a safe and effective treatment modality in motivated patients with benign resistant esophageal strictures. Esophageal self dilation has a positive impact on emotional, social, and financial aspects of patient's life. Self dilation should be considered a treatment option in all patients with benign resistant esophageal strictures. Springer Science+Business Media, LLC, 2011 Dysphagia nationallicence Esophageal self dilation nationallicence Benign esophageal strictures nationallicence Quality of life nationallicence Dzeletovic Ivana Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Fleischer David Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Crowell Michael Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Kim Hack Arizona Center for Digestive Health, 3420 S. Mercy Drive, Suite 211, 85297, Gilbert, AZ, USA aut Harris Lucinda Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Burdick George Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut McLaughlin Roxane Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Spratley Jr. Robert Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut Sharma Virender Arizona Center for Digestive Health, 3420 S. Mercy Drive, Suite 211, 85297, Gilbert, AZ, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 435-440 0163-2116 56:2<435 2011 56 10620 https://doi.org/10.1007/s10620-010-1503-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1503-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dzeletovic Ivana Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Fleischer David Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Crowell Michael Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Kim Hack Arizona Center for Digestive Health, 3420 S. Mercy Drive, Suite 211, 85297, Gilbert, AZ, USA aut NATIONALLICENCE 700 1- Harris Lucinda Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Burdick George Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- McLaughlin Roxane Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Spratley Jr Robert Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, 85259, Scottsdale, AZ, USA aut NATIONALLICENCE 700 1- Sharma Virender Arizona Center for Digestive Health, 3420 S. Mercy Drive, Suite 211, 85297, Gilbert, AZ, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/2(2011-02-01), 435-440 0163-2116 56:2<435 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer