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| 1 | Endoscopic balloon catheter dilatation via retrograde or static technique is safe and effective for cricopharyngeal dysfunction显示文摘AIM To evaluate the safety and efficacy of upper esophageal sphincter(UES) dilatation for cricopharyngeal(CP) dysfunction. To determine if:(1) indication for dilatation; or(2) technique of dilatation correlated with symptom improvement.METHODS All balloon dilatations performed at our institution from over a 3-year period were retrospectively analyzed for demographics, indication and dilatation site. All dilatations involving the UES underwent further review to determine efficacy, complications, and factors that predict success. Dilatation technique was separated into static(stationary balloon distention) and retrograde(brusque pull-back of a fully distended balloon across the UES).RESULTS Four hundred and eighty-eight dilatations were reviewed. Thirty-one patients were identified who underwent UES dilatation. Median age was 63 years(range 27-81)and 55% of patients were male. Indications included dysphagia(28 patients), globus sensation with evidence of UES dysfunction(2 patients) and obstruction to echocardiography probe with cricopharyngeal(CP)bar(1 patient). There was evidence of concurrent oropharyngeal dysfunction in 16 patients(52%) and a small Zenker's diverticula(≤ 2 cm) in 7 patients(23%). Dilator size ranged from 15 mm to 20 mm. Of the 31 patients, 11 had dilatation of other esophageal segments concurrently with UES dilatation and 20 had UES dilatation alone.Follow-up was available for 24 patients for a median of 2.5 mo(interquartile range 1-10 mo), of whom 19 reported symptomatic improvement(79%). For patients undergoing UES dilatation alone, follow-up was available for 15 patients, 12 of whom reported improvement(80%).Nineteen patients underwent retrograde dilatation(84%response) while 5 patients had static dilatation(60%response); however, there was no significant difference in symptom improvement between the techniques(P = 0.5).Successful symptom resolution was also not significantly affected by dilator size, oropharyngeal dysfunction,Zenker's diverticulum, age or gender(P > 0.05). The only complication noted was uvular edema and a shallow ulcer after static dilatation in one patient, which resolved spontaneously and did not require hospital admission.CONCLUSION UES dilatation with a through-the-scope balloon by either static or retrograde technique is safe and effective for the treatment of dysphagia due to CP dysfunction. To our knowledge, this is the first study evaluating retrograde balloon dilatation of the UES. | Vinay Chandrasekhara Joyce Koh Lakshmi Lattimer Kerry B Dunbar William J Ravich John O Clarke | 2017 | World Journal of Gastrointestinal Endoscopy2017,9,4: | 6 |
| 2 | Endoscopic options for treatment of dysplasia in Barrett's esophagus显示文摘Recent advances in the endoscopic treatment of dysplasia in Barrett's esophagus(BE) have allowed endoscopists to provide effective and durable eradication therapies. This review summarizes the available endoscopic eradication techniques for dysplasia in patients with BE including endoscopic mucosal resection, endoscopic submucosal dissection, photodynamic therapy, argon plasma coagulation, radiofrequency ablation and cryotherapy. | R Brooks Vance Kerry B Dunbar | 2015 | World Journal of Gastrointestinal Endoscopy2015,7,19: | 3 |
| 3 | Endoscopic imaging of Barrett's esophagus显示文摘The incidence of esophageal adenocarcinoma(EAC) has dramatically increased in the United States as well as Western European countries. The majority of esophageal adenocarcinomas arise from a backdrop of Barrett's esophagus(BE),a premalignant lesion that can lead to dysplasia and cancer. Because of the increased risk of EAC,GI society guidelines recommend endoscopic surveillance of patients with BE. The emphasis on early detection of dysplasia in BE through surveillance endoscopy has led to the development of advanced endoscopic imaging technologies. These techniques have the potential to both improve mucosal visualization and characterization and to detect small mucosal abnormalities which are difficult to identify with standard endoscopy. This review summarizes the advanced imaging technologies used in evaluation of BE. | Mariam Naveed Kerry B Dunbar | 2016 | World Journal of Gastrointestinal Endoscopy2016,8,5: | 2 |
| 4 | Distributed receding horizon control with application to multi-vehicle formation stabilization 显示文摘 | DUNBAR W B MURRAY R M | 2004 | Automatic2004,42,4: | 1 |
| 5 | Exploring Variation in Active Network Size: Constraints and Ego Characteristics 显示文摘 | Roberts S G B Dunbar R I M Pollet T V | 2009 | Social Networks2009,31,2: | 1 |
| 6 | Synthesis,complexation and cyclisation reactions of a new acyclic diamide:Observation of intramolecular ligand exchange in a structurally characterised nickel(Ⅱ)complex显示文摘 | BROOKER S DUNBAR G S JAMESON G B | 1999 | Polyhedron1999,18,5: | 1 |
| 7 | Complete amino acid sequence of the neurone-specific gamma isozyme of enolase from human brain and comparison with the non-neuronal alpha form (NNE)显示文摘 | Mc Aleese SM Dunbar B Fothergill JE et a1 | 1988 | Eur J Biochem1988,15,: | 1 |
| 8 | Distributed receding horizon control with application to multi-vehicle formation stabiliza-tion显示文摘 | DUNBAR W B MURRAY R M | 2006 | Automatica2006,42,4: | 1 |
| 9 | The Costs of Family and Friends: An 18-Month Longitudinal Study of Relationship Maintenance and Decay 显示文摘 | Roberts S G B Dunbar R I M | 2011 | Evolution and Human Behavior2011,32,3: | 1 |
| 10 | Family influences on heart failure self-care and outcomes显示文摘 | Dunbar S B Clark P C Quinn C | 2008 | J Cardiovase Nurs2008,23,3: | 1 |
| 11 | Distributed receding horizon control of dynami cally coupled nonlinear systems显示文摘 | Dunbar W B | | 0,,7: | 1 |
| 12 | Distributed receding horizon con trol for multi vehicle formation stabilization显示文摘 | Dunbar W B Murray R M | | 0,,4: | 1 |
| 13 | The ovary as animmune target显示文摘 | PRASADS CARINO C etal | 2001 | J Soc Gynecol Investig2001,8,1: | 1 |
| 14 | Calibration of stable oxygen isotope signatures in Galapagos corals显示文摘 | Wellington G M Dunbar R B Merlen G | 1996 | Paleoceanography1996,11,4: | 1 |
| 15 | Stroke sur- vivor and informal caregiver perceptions of post-stroke depressive symptoms显示文摘 | N Jennifer Klinedinst Sandra B Dunbar Patricia C Clark | 2012 | J Neurosei Nurs2012,44,2: | 1 |
| 16 | Bovine adenovirus type-3 infection in feedlot calves 显示文摘 | Mattson D E Norman B B Dunbar J R | 1988 | Am J Vet Res1988,49,: | 1 |
| 17 | Complete amino acid sequence of five dimeric and four monomeric forms of metallothionein from the edible mussel Mytilus edulis显示文摘 | Mackay E A Overnell J L Dunbar B | 1993 | European Journal of Biochemistry1993,218,: | 1 |
| 18 | Development of enzyme immunoassay for the detection of triazine herbicides显示文摘 | Dunbar B Riggle B Niswender G | 1990 | J Agric Food Chem1990,38,: | 1 |
| 19 | Cluster-based selection显示文摘 | JAMES B | 1997 | Perspectives in Drug Discovery and Design1997,,12: | 1 |
| 20 | Thermal stability of photosensitive Bragg gratings in sputter-deposited germanosilicate glass 显示文摘 | POTTE B G SIMMONS K DUNBAR T D | 2000 | J Non-Cryst Solids2000,277,: | 1 |