Clinical Endoscopy

Kshitij Chatterjee

1 Article

Health-Care Utilization and Complications of Endoscopic Esophageal Dilation in a National Population: Abhinav Goyal, Kshitij Chatterjee, Sujani Yadlapati, Shailender Singh; Clin Endosc 2017;50(4):366-371. Published online March 17, 2017; DOI: https://doi.org/10.5946/ce.2016.155

Background
/Aims: Esophageal stricture is usually managed with outpatient endoscopic dilation. However, patients with food impaction or failure to thrive undergo inpatient dilation. Esophageal perforation is the most feared complication, and its risk in inpatient setting is unknown.
Methods
We used National Inpatient Sample (NIS) database for 2007–2013. International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM) codes were used to identify patients with esophageal strictures. Logistic regression was used to assess association between hospital/patient characteristics and utilization of esophageal dilation.
Results
There were 591,187 hospitalizations involving esophageal stricture; 4.2% were malignant. Endoscopic dilation was performed in 28.7% cases. Dilation was more frequently utilized (odds ratio [OR], 1.36; p<0.001), had higher in-hospital mortality (3.1% vs. 1.4%, p<0.001), and resulted in longer hospital stays (5 days vs. 4 days, p=0.01), among cases of malignant strictures. Esophageal perforation was more common in the malignant group (0.9% vs. 0.5%, p=0.007). Patients with malignant compared to benign strictures undergoing dilation were more likely to require percutaneous endoscopic gastrostomy or jejunostomy (PEG/J) tube (14.1% vs. 4.5%, p<0.001). Palliative care services were utilized more frequently in malignant stricture cases not treated with dilation compared to those that were dilated.
Conclusions
Inpatient endoscopic dilation was utilized in 29% cases of esophageal stricture. Esophageal perforation, although infrequent, is more common in malignant strictures.

Citations

Citations to this article as recorded by

Diffuse Esophageal Spasm: An Alternative Treatment Approach
McKenzie K Allen , Wayne Frei
Cureus.2024;[Epub] CrossRef
Safety of a Novel Upper Esophageal Sphincter Balloon Dilator
Grace M. Wandell, Janeth Garcia Swartwood, Ashar Singh Brar, Gregory N. Postma, Peter C. Belafsky
The Laryngoscope.2024;[Epub] CrossRef
Adverse events associated with EGD and EGD-related techniques
Nayantara Coelho-Prabhu, Nauzer Forbes, Nirav C. Thosani, Andrew C. Storm, Swati Pawa, Divyanshoo R. Kohli, Larissa L. Fujii-Lau, Sherif Elhanafi, Audrey H. Calderwood, James L. Buxbaum, Richard S. Kwon, Stuart K. Amateau, Mohammad A. Al-Haddad, Bashar J.
Gastrointestinal Endoscopy.2022; 96(3): 389. CrossRef
Diagnosis and management of iatrogenic endoscopic perforations: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement – Update 2020
Gregorios A. Paspatis, Marianna Arvanitakis, Jean-Marc Dumonceau, Marc Barthet, Brian Saunders, Stine Ydegaard Turino, Angad Dhillon, Maria Fragaki, Jean-Michel Gonzalez, Alessandro Repici, Roy L.J. van Wanrooij, Jeanin E. van Hooft
Endoscopy.2020; 52(09): 792. CrossRef
Acute coronary syndromes in the peri‐operative period after kidney transplantation in United States
Abhinav Goyal, Kevin Bryan Lo, Kshitij Chatterjee, Roy O. Mathew, Peter A. McCullough, Sripal Bangalore, Janani Rangaswami
Clinical Transplantation.2020;[Epub] CrossRef
Five-year single-centre experience of carcinoma of the oesophagus from Blantyre, Malawi
John David Chetwood, Peter J Finch, Anstead Kankwatira, Jane Mallewa, Melita A Gordon, Leo Masamba
BMJ Open Gastroenterology.2018; 5(1): e000232. CrossRef
Safe and Proper Management of Esophageal Stricture Using Endoscopic Esophageal Dilation
Jae Jin Hwang
Clinical Endoscopy.2017; 50(4): 309. CrossRef

12,718 View
133 Download
7 Web of Science
7 Crossref

Author index