Endoscopy 2019; 51(04): S170-S171
DOI: 10.1055/s-0039-1681674
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 10:30 – 11:00: Esophagus stenosis ePoster Podium 4
Georg Thieme Verlag KG Stuttgart · New York

A RARE CAUSE OF HIGH DYSPHAGIA: PLUMMER VINSON SYNDROME; ABOUT 80 CASES

M Fissah
1   Algiers Hospital, Algiers, Algeria
,
N Oumnia
1   Algiers Hospital, Algiers, Algeria
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

The aim of the study is to evaluate the characteristics of the patients and to analyze the results of dilation.

Methods:

this prospective study has included 80 patients treated during 14 years by Savary Gillard dilation. The mean age was 38 years (16 – 72). There were 73 females and 7 males. The patients have had a long standing history of slowly progressive dysphagia of solid food. Laboratory data and admission showed iron deficiency anemia. Radiographic esophagography revealed circumferential webs, at the level of cervical esophageal stricture caused by a smooth mucosal diaphragm; it was circumferential in 46 cases. Upper gastrointestinal endoscopy after dilation showed duodenal atrophy in 19 cases, with a positive histology of celiac disease. The 80 patients were treated with esophageal bougienage and iron supplementary. The dilation was realized with anesthesia in endoscopy room after IM diazepam premedication for the majority. Dilation Results were judged after 12 months follow up on evolution of dysphagia, weight, number of dilation and stenosis diameter.

Results:

the webs were easily disrupted without complications. The total number of dilation was 177. The average number of dilation was 1.8 (1 – 15). The patients dysphagia resolved shortly after the treatment, the anemia disproved. The patients were examined periodically after the initial treatment and found to be in good general condition, with no recurrence during the 2 years period of follow up il 72 patients. A relapse of dysphagia was noted in 8.

Conclusions:

Plummer Vinson syndrome is uncommon nowadays, it affect mainly a middle aged white women. This experience indicates that endoscopic bougienage is safe, effective and relatively easy to perform in patients with a esophageal cervical stenosis. This syndrome has been identified as a risk factor for developing squamous cell carcinoma of upper gastrointestinal tract and then we have to include theses patients in surveillance program.