Felis ISSN 2398-2950
Esophagus: balloon dilation
Contributor(s): Andrew Gardiner, Joseph Harari
Introduction
- Resolution of esophageal stricture by means of a balloon dilation technique.
Uses
Advantages
- Most cats can be expected to show improvement following this technique. The magnitude of the improvement depends on the severity of the underlying pathology.
- Balloon catheter dilation is the treatment of choice: there is less risk of perforation than with bougienage and fewer dilation cycles are required to alleviate symptoms.
Disadvantages
- Repeated dilations may be required, usually at 1-3 week intervals, in severe cases.
- General anesthesia is always required.
- Ideally, fluoroscopic guidance should be employed during dilation treatment. The availability of this modality is limited however.
- An endoscope is required Esophagoscopy.
Requirements
This article is available in full to registered subscribers
Sign up now to purchase a 30 day trial, or
Login
Preparation
This article is available in full to registered subscribers
Sign up now to purchase a 30 day trial, or
Login
Procedure
This article is available in full to registered subscribers
Sign up now to purchase a 30 day trial, or
Login
Aftercare
This article is available in full to registered subscribers
Sign up now to purchase a 30 day trial, or
Login
Outcomes
This article is available in full to registered subscribers
Sign up now to purchase a 30 day trial, or
Login
Prognosis
- Most patients are improved by this procedure and it is therefore well worth pursuing since symptoms can be troublesome and distressing.
Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Harai B H, Johnson S E, Sherding R G (1995) Endoscopically guided balloon dilation of benign esophageal stricture in 6 cats and 7 dogs. J Vet Intern Med 9 (5), 332-335 PubMed.
- Willard M D, Delles E K, Fossum T W (1993) Iatrogenic tears associated with ballooning of esophageal strictures. JAAHA 30 (5), 431-5 VetMedResource.
- Burk R L, Zawie D A & Garvie M S (1987) Balloon catheter dilation of intramural esophageal strictures in the dog and cat: a description of the procedure and a report of six cases. Semin Vet Med Surg 2 (4), 241-7 PubMed.
- Sooy T E, Adams W M, Pitts R P et al (1987) Balloon catheter dilation of alimentary tract strictures in the dog and cat. Radiology 28 (4), 131-7 VetMedResource.