Results of Savary-Gilliard dilatation in the management of cervical web of esophagus.
OBJECTIVE
Cervical web is predominantly a disease of middle-aged females. Sixteen patients with cervical web of esophagus were studied. Dysphagia is mostly for solids, intermittent, non-progressive and was present for many months before they presented.


METHODS
Treatment consisted of forceful dilatation with Savary-Gilliard bougies of 15 or 17 mm diameter after initial rupture of the web by endoscope or 11 mm dilator.


RESULTS
Single session of dilatation was adequate in all patients (100%) and there was no recurrence of web during follow-up of 22.8 +/- 18.9 months.


CONCLUSIONS
Endoscopic dilatation is a simple outpatient procedure having least morbidity and is suggested as the treatment modality of choice in the management of cervical web of the esophagus.
Sreenivas
Dasika V
DV
Department of Gastroenterology, Nizams Institute of Medical Sciences, Panjagutta, Hyderabad, India.  dvsreenivas@yahoo.co.uk
Kumar
Ajit
A
Mannar
K V Raja
KV
Babu
G Raghunatha
GR
D000293:Adolescent; D000328:Adult; D002648:Child; D003680:Deglutition Disorders / Q000209:etiology* / Q000628:therapy*; D004106:Dilatation / Q000379:methods*; D004724:Endoscopy / Q000379:methods*; D004940:Esophageal Stenosis / Q000150:complications* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome