Practice patterns in the management of patients with esophageal strictures and rings.

Practice patterns in the management of patients with esophageal strictures and rings. Research Abstract Details 

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Practice patterns in the management of patients with esophageal strictures and rings. Abstract Text:

Jeffrey S Olson,David A Lieberman,Amnon Sonnenberg,Jeffrey S Olson,David A Lieberman,Amnon Sonnenberg,

BACKGROUND: Only few data exist on the epidemiology and management of esophageal strictures and rings. OBJECTIVE: To study the epidemiology and management of esophageal strictures and rings. DESIGN: Case-control study. SETTING: Endoscopic data repository of U.S. gastroenterology practices from 1998 to 2003 (Clinical Outcomes Research Initiative). PATIENTS: Case subjects included 7287 patients with strictures and 4993 patients with rings. The control group consisted of 124,120 patients without endoscopic evidence of esophageal stenosis. INTERVENTIONS: Esophageal dilation. MAIN OUTCOME MEASUREMENTS: Patient demographics, types and diameters of esophageal dilators, frequency of repeat dilations. RESULTS: Strictures displayed a male predominance, and rings displayed a small female predominance. Compared with the control population, strictures and rings both occurred most frequently in elderly white patients. Dysphagia and reflux were the most common indications for dilation in both conditions. Compared with strictures, rings were treated more often with larger dilators and rubber bougies. One-year rates of repeat dilation for strictures and rings were 13% and 4%, respectively. The mean interval length between repeat dilations was 82 days for strictures and 184 days for rings. LIMITATIONS: Only a limited amount of information about individual patients was retrievable from the electronic database. CONCLUSIONS: The variations in the demographic characteristics and the treatment practice allude to differences in the underlying pathophysiology of these 2 benign obstructing lesions of the esophagus.

Practice patterns in the management of patients with esophageal strictures and rings. Publishing Authors By Initials

JS Olson,DA Lieberman,A Sonnenberg,JS Olson,DA Lieberman,A Sonnenberg,

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Practice patterns in the management of patients with esophageal strictures and rings. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Gastrointestinal endoscopy

VOLUME: 66

Page Numbers: 670-5; quiz 767, 770

Journal Abbreviation: Gastrointest. Endosc.

ISSN: 0016-5107

DAY: 1

MONTH: Oct

YEAR: 2007

Practice patterns in the management of patients with esophageal strictures and rings. Information

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LANGUAGE: eng

NlmUniqueID: 10505

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Grant and Affiliation Information for Practice patterns in the management of patients with esophageal strictures and rings.

AFFILIATION: Portland VA Medical Center and Oregon Health and Science University, Portland, Oregon 97239, USA.

Country: United States

AGENCY: United States NIDDK

GRANT: U01-DK057132-06A1

ACRONYM: DK

MEDLINETA: Gastrointest Endosc

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