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40
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Dublin Core
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Title
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Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
Text
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URL Address
<a href="http://doi.org/10.2214/ajr.11.8159" target="_blank" rel="noreferrer noopener">http://doi.org/10.2214/ajr.11.8159</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Fluoroscopically Guided Dilation of Esophageal Strictures in Patients With Dystrophic Epidermolysis Bullosa: Long-Term Results
Publisher
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American Journal of Roentgenology
Date
A point or period of time associated with an event in the lifecycle of the resource
2012
Subject
The topic of the resource
children; experience; management; balloon dilatation; benign esophageal stricture; dystrophic epidermolysis bullosa; eb; fluoroscopically guided balloon dilation; Radiology Nuclear Medicine & Medical Imaging; stenosis; feeding difficulties; epidermolysis bullosa; surgical intervention; fluoroscopically guided dilation of esophageal strictures; dysphagia; nutritional failure; gastronomy tube placement
Creator
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Spiliopoulos S; Sabharwal T; Krokidis M; Gkoutzios P; Mellerio J; Dourado R; Adam A
Description
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OBJECTIVE. The purpose of this study was to investigate the immediate and long-term outcomes after fluoroscopically guided balloon dilation of esophageal strictures in a series of patients with dystrophic epidermolysis bullosa (DEB). MATERIALS AND METHODS. Between 2005 and 2011, the medical records of all patients with DEB treated with fluoroscopically guided balloon dilation of esophageal strictures were included in the study and retrospectively analyzed. The indication for treatment was dysphagia attributed to at least one radiologically verified esophageal stricture. The primary endpoints of the study included procedural technical success, clinical improvement assessed with a 0-4 dysphagia score, and major complication rate. Secondary endpoints were patient survival and reintervention rates. RESULTS. Nineteen consecutively registered patients with DEB (age range, 10-51 years; mean, 30 +/- 12.2 years) and dysphagia due to esophageal strictures were treated with fluoroscopically guided balloon dilation. In total, 90 procedures and 121 dilations were performed to manage 28 lesions. Balloon diameter ranged from 8 to 18 mm. The mean follow-up time was 47.51 +/- 16.64 months (range, 17-73 months). The technical success rate was 96.7% (87/90). There were no major complications. The mean reintervention rate was 1.19 dilations per patient per year, and the postprocedural dysphagia score (0.72 [95% CI, 0.56-0.87]) was significantly lower than baseline (2.50 [95% CI 2.35-2.65]) (p < 0.001). CONCLUSION. Repeated fluoroscopically guided balloon dilation is safe and effective for the management of dysphagia caused by esophageal strictures in DEB. Use of this technique was associated with marked clinical improvement in dysphagia and satisfactory long-term reintervention rates with no major complications.
Identifier
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<a href="http://doi.org/10.2214/ajr.11.8159" target="_blank" rel="noreferrer noopener">10.2214/ajr.11.8159</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2012
Adam A
American Journal Of Roentgenology
Balloon dilatation
benign esophageal stricture
Children
Dourado R
Dysphagia
dystrophic epidermolysis bullosa
eb
epidermolysis bullosa
Experience
feeding difficulties
fluoroscopically guided balloon dilation
fluoroscopically guided dilation of esophageal strictures
gastronomy tube placement
Gkoutzios P
Krokidis M
Management
Mellerio J
Nutritional Failure
Radiology Nuclear Medicine & Medical Imaging
Sabharwal T
Spiliopoulos S
stenosis
surgical intervention
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1111/dote.12503" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/dote.12503</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Balloon dilatation in esophageal strictures in epidermolysis bullosa and the role of anesthesia
Publisher
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Diseases of the Esophagus
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
Subject
The topic of the resource
adolescent; dysphagia; retrospective study; priority journal; school child; preschool child; clinical effectiveness; patient safety; human; article; child; female; male; adult; clinical article; young adult; colon interposition; gastrostomy; anesthesia; balloon dilatation; epidermolysis bullosa; esophagus stenosis/co [Complication]; esophagus stenosis/th [Therapy]; digestive endoscope; esophagus balloon; esophagus perforation; feeding difficulties; surgical intervention; endoscopic balloon dilatation
Creator
An entity primarily responsible for making the resource
Gollu G; Ergun E; Ates U; Can O S; Dindar H
Description
An account of the resource
Esophageal involvement, which causes stricture, is a complication in epidermolysis bullosa. This causes dysphagia and malnutrition and leads to deterioration of skin lesions in these patients. The charts of 11 patients with epidermolysis bullosa and esophageal stricture who were included into dilatation program between 2003 and 2015 were retrospectively reviewed. Seven of the patients were female and four were male. The median age was 14 (2-32) years. The mean body weight of patients was 27.8 (9-51) kg. The location and number of strictured parts of the esophagus were previously evaluated with upper gastrointestinal contrast study and after that flexible endoscopy was used for dilatation. Eight patients had middle esophageal, three patients had proximal esophageal and one of them had both proximal and middle esophageal strictures. The strictures were dilated 56 times in total (mean 5 times). One patient underwent gastrostomy and was medically followed-up after a perforation occurrence during the dilatation procedure. In a 32-year-old female patient, colon interposition was performed after four dilatations since optimal nutritional and developmental status could not be achieved. The dilatation program of nine patients is still in progress. Seven of them can easily swallow solid food but two of them have some difficulties in swallowing between dilatations. One patient rejected the program and quitted, while one patient refused colon interposition and died because of complications related to amyloidosis during the dilatation program. After resolution of the swallowing problem, skin lesions were observed to heal quickly. Epidermolysis bullosa is a rare cause of dysphagia. Esophageal balloon dilatation with flexible endoscopy is a safe and efficient method in patients with this condition.
Identifier
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<a href="http://doi.org/10.1111/dote.12503" target="_blank" rel="noreferrer noopener">10.1111/dote.12503</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Adolescent
Adult
Anesthesia
Article
Ates U
Balloon dilatation
Can O S
Child
Clinical Article
Clinical Effectiveness
colon interposition
digestive endoscope
Dindar H
Diseases of the Esophagus
Dysphagia
endoscopic balloon dilatation
epidermolysis bullosa
Ergun E
esophagus balloon
esophagus perforation
esophagus stenosis/co [Complication]
esophagus stenosis/th [Therapy]
feeding difficulties
Female
Gastrostomy
Gollu G
Human
Male
Patient Safety
Preschool Child
Priority Journal
Retrospective Study
School Child
surgical intervention
Young Adult
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/S0016-5107%2803%2902379-4" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/S0016-5107%2803%2902379-4</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Efficacy and safety of endoscopic dilation of esophageal strictures in epidermolysis bullosa
Publisher
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Gastrointestinal Endoscopy
Date
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2004
Subject
The topic of the resource
adolescent; dysphagia; major clinical study; priority journal; follow up; scoring system; school child; human; article; female; male; adult; morbidity; treatment outcome; balloon dilatation; barium; body weight; contrast enhancement; endoscopic therapy; epidermolysis bullosa/th [Therapy]; epidermolysis bullosa; esophagus dilatation; esophagus stricture/th [Therapy]; nutritional status; propofol; feeding difficulties; surgical intervention; endoscopic balloon dilatation
Creator
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Anderson S H C; Meenan J; Williams K N; Eady R A J; Prinja H; Chappiti U; Doig L; Thompson R P H
Description
An account of the resource
Background: Epidermolysis bullosa is a rare genetically determined disorder of the stratified squamous epithelium. Patients with the most severe forms develop scarring of the esophagus after ingestion of food. This results in dysphagia, which severely compromises the ability to eat. Maintenance of adequate nutritional intake is a central aim, but the most appropriate method is unknown. Methods: The results of endoscopic through-the-scope balloon dilation under propofol anesthesia in 53 patients with epidermolysis bullosa and esophageal strictures are reported. Results: Seventy-five percent of patients had a single stricture (range 1 to 6 strictures), most often in the proximal esophagus (median 20 cm from incisors). A total of 182 dilations were performed (median two per patient) over a median follow-up period of 3.5 years. For all but 3 patients, there was an improvement in the dysphagia score. There was a mean increase in weight after the procedure of 2.9 kg: 95% CI[2.0, 3.8]; p < 0.001, over a median 29 days. There was no significant post-procedure morbidity. Conclusions: Endoscopic balloon dilation is a safe and effective treatment for the esophageal strictures of epidermolysis bullosa. In the majority of patients, dilation relieves dysphagia and improves nutritional status.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/S0016-5107%2803%2902379-4" target="_blank" rel="noreferrer noopener">10.1016/S0016-5107%2803%2902379-4</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2004
Adolescent
Adult
Anderson S H C
Article
Balloon dilatation
barium
Body Weight
Chappiti U
contrast enhancement
Doig L
Dysphagia
Eady R A J
endoscopic balloon dilatation
endoscopic therapy
epidermolysis bullosa
epidermolysis bullosa/th [Therapy]
esophagus dilatation
esophagus stricture/th [Therapy]
feeding difficulties
Female
Follow Up
Gastrointestinal Endoscopy
Human
Major Clinical Study
Male
Meenan J
Morbidity
Nutritional Status
Prinja H
Priority Journal
Propofol
School Child
scoring system
surgical intervention
Thompson R P H
Treatment Outcome
Williams K N
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Treatment of Symptoms in Children with Q3 Conditions Scoping Review Results
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ijporl.2011.07.031" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ijporl.2011.07.031</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Endoscopic balloon dilatation of esophageal strictures in children
Publisher
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International Journal of Pediatric Otorhinolaryngology
Date
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2011
Subject
The topic of the resource
Children; Pediatrics; experience; management; Dysphagia; Otorhinolaryngology; atresia; Balloon dilatation; conservative treatment; dilation; epidermolysis bullosa; Esophageal strictures; ingestion; repair; feeding difficulties; surgical intervention; endoscopic balloon dilatation
Creator
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Alshammari J; Quesnel S; Pierrot S; Couloigner V
Description
An account of the resource
Aim of the study: To assess the efficacy and safety of endoscopic balloon dilatation of esophageal strictures in children. Material and methods: Design: retrospective case series; population: 49 patients under 18 years of age referred to our center for esophageal strictures; treatment: endoscopic balloon dilatation: outcome parameters: residual dysphagia, weight gain, iatrogenic esophageal perforation, assessment of the esophageal lumen by endoscopy or esophagogram. Results: The three main etiologies were esophageal atresia (49%; n = 24), corrosive injury (25%; n = 12), and epidermolysis bullosa (14%; n = 7), followed by a heterogeneous group of rarer causes (12%; n = 6). The number of dilatations ranged from 1 to 8 sessions per patient (median +/- SEM: 2 +/- 0.3). The length of the follow-up period ranged from 20 to 109 months (median +/- SEM: 40 +/- 4 months). Treatment was successful in 86% of cases (n = 42). Twelve percent of patients (n = 6) had a residual stenosis requiring surgery, and a further one still experienced swallowing difficulties requiring enteral nutrition via gastrostomy in spite of the absence of significant residual stricture. Results were less satisfactory in cases of corrosive injury than with other etiologies. Three esophageal perforations were observed (6% of patients; 2% of procedures). All were medically treated. Conclusions: Endoscopic balloon dilatation is a simple, safe and efficacious treatment of esophageal strictures in children. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
Identifier
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<a href="http://doi.org/10.1016/j.ijporl.2011.07.031" target="_blank" rel="noreferrer noopener">10.1016/j.ijporl.2011.07.031</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2011
Alshammari J
atresia
Balloon dilatation
Children
conservative treatment
Couloigner V
dilation
Dysphagia
endoscopic balloon dilatation
epidermolysis bullosa
Esophageal strictures
Experience
feeding difficulties
ingestion
International Journal of Pediatric Otorhinolaryngology
Management
Otorhinolaryngology
Pediatrics
Pierrot S
Quesnel S
repair
surgical intervention