Endoscopic balloon dilation of benign esophageal strictures in dogs and cats

J Vet Intern Med. 2001 Nov-Dec;15(6):547-52. doi: 10.1892/0891-6640(2001)015<0547:ebdobe>2.3.co;2.

Abstract

Endoscopic balloon dilation of benign esophageal strictures was performed in 18 dogs and 10 cats with a median age of 4 years. Stricture formation was associated with a recent anesthetic episode in 18 patients. Regurgitation was the most common clinical sign and was present a median of 4 weeks before dilation. Most animals had a single stricture; median diameter was 5 mm, and median length was 1 cm. Esophagitis and mucosal fibrosis were detected in 9 patients each. Dilation was performed with progressively increasing diameter balloons, from 6 to 20 mm. After dilation, mucosal hemorrhage was mild to moderate in most patients. Esophageal perforation was the only serious complication and occurred in 1 patient. Postdilation therapy consisted of administration of cimetidine, metoclopramide, sucralfate, and prednisone in most animals. The median number of dilation procedures performed in each animal was 2, with a range of 1-5. The median interval between dilations was 13 days. Stricture diameter markedly increased with subsequent dilations. Median duration of follow-up was 131 weeks. A successful outcome occurred in 88% of patients, with most animals able to eat canned, mashed, or dry food without regurgitation. Mucosal fibrosis was associated with a better clinical response score, while increasing age was weakly associated with fewer dilations. The dilation protocol used in this group of animals was safe and efficacious.

MeSH terms

  • Age Factors
  • Animals
  • Cat Diseases / therapy*
  • Catheterization / methods
  • Catheterization / veterinary*
  • Cats
  • Dog Diseases / therapy*
  • Dogs
  • Eating
  • Endoscopy / methods
  • Endoscopy / veterinary*
  • Esophageal Perforation
  • Esophageal Stenosis / therapy
  • Esophageal Stenosis / veterinary*
  • Female
  • Fibrosis / etiology
  • Gastroesophageal Reflux / etiology
  • Gastroesophageal Reflux / veterinary
  • Intestinal Mucosa / pathology
  • Male
  • Prognosis
  • Retrospective Studies
  • Treatment Outcome