A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube

JOURNAL TITLE: International Journal of Head and Neck Surgery

Author
1. Sarika S Naik
2. MC Shivakumar
3. Sudhir Naik
4. Mohan K Appaji
5. S Ravishankara
ISSN
0975-7899
DOI
10.5005/jp-journals-10001-1076
Volume
2
Issue
3
Publishing Year
2011
Pages
5
Author Affiliations
    1. Assistant Professor in ENT and Head and Neck Surgery, KVG Medical College Hospital, Sullia, Karnataka, India
    1. Department of Anesthesia, KVG Medical College and Hospital, Sullia, Karnataka, India
    1. Department of ENT, KVG Medical College, Sullia, Karnataka India
    1. Department of Anesthesia, KVG Medical College, Sullia, Karnataka, India
    1. Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia, Karnataka, India
  • Article keywords

    Abstract

    Background/objectives

    Plummer-Vinson syndrome also known as sideropenic dysphagia is a disease characterized by chronic iron-deficiency anemia, dysphagia and esophageal web. It commonly affects white female in the 4th to 7th decade. Most of the dysphagia and iron deficiency can be treated by iron supplementation and rarely web dilatation is needed.

    Setting

    Department of ENT, Head and Neck Surgery and Anesthesia, KVG Medical College, Sullia, Karnataka, India.

    Case report

    A 36-year-old female with dysphagia of 10 months and iron-deficiency anemia with a small upper esophageal web seen on upper GI endoscopy and barium swallow.

    Intervention

    Conservative line of management with blood transfusion and dilatation of the web with cuffed endotracheal tube.

    Results

    A good symptomatic and radiological improvement was seen after blood transfusion and web dilatation with cuffed endotracheal tube.

    Conclusion

    Cuffed endotracheal tube dilatation is a better way of managing upper esophageal webs with minimal complications under general anesthesia.

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