Indications:
Diagnostic
- Investigation for anaemia
- Upper GI bleeding
- Persistent Dyspepsia
- Persistent vomiting
- Dysphagia
- Odynophagia
Surveillance
- Surveillance of already diagnosed Barrett's oesophagus
- Previous gastric/duodenal ulcers
Therapeutic
- Oesophageal varices
- Banding
- Sclerotherapy
- Epinephrine injections into actively bleeding lesions
- Insertion of Sengstaken-Blackmore's tube
- Polyps
- Removal of FBs
- Oesophageal stenosis
- Dilatation
- Stenting
- Insertion of PEG tube
- ERCP
Safety
Most common complication is Sorethroat
Complication rate is 1 in 1000
- Aspiration
- Bleeding
- Perforation
Risk of dilatation
- Review of 1862 endoscopic dilatations using Savary-Guillard technique showed complication rate of 0.18% for benign strictures and 4.58% for malignant aetiologies (Piotet E, Eur Arch Otorhinolaryngol. 2008 Mar)
- Certain strictures refractory to treatment and require multiple dilatations
- E.g. caustic, post-surgical, post radiotherapy strictures.
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