Mahmood Ahmad, Yasir Mahmud, Sidra Rasheed, Naeem Afzal, Naseer Umer, Muhammad Arif Nadeem.
Savary-Guilliard Dilators for Management of Corrosive Esophageal Strictures without using Fluoroscope: 5-year Experience in Pakistani Population.
Esculapio J Services Inst Med Sci Jan ;15(3):214-6.

Objective: We evaluated the safety and effectiveness of Savary-Guilliard dilators in corrosive esophageal strictures without using fluoroscopic monitoring. Methods: A total of 307 patients with corrosive esophageal strictures who underwent endoscopic dilatation using Savary-Guilliard dilators were included in the study. Procedures were repeated after every 2-4 weeks to assess the outcome and further need of dilatation. Treatment was considered successful if the patient was able to tolerate a solid /semisolid meal for a period of >6months without further need of dilatation. Results: 983 dilatations were performed in 307 patients. The mean number of sessions performed per patient was 3.2. Treatment success was obtained in 277 patients (90.2%). Treatment failure was noted in 18 patients (5.9%) and 12 patients (3.9%) lost to follow up. Perforation occurred in 8 (2.6%) patients that were managed conservatively. Conclusion: Dilatation of corrosive esophageal strictures with Savary-Guilliard dilators without using fluoroscope is efficacious and safe.

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