UK guidelines on oesophageal dilatation in clinical practice

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    • Sarmed S Sami
    • Hasan N Haboubi
    • Yeng Ang
    • Philip Boger
    • Pradeep Bhandari
    • John de Caestecker
    • Helen Griffiths
    • Rehan Haidry
    • Hans-Ulrich Laasch
    • Praful Patel
    • Stuart Paterson
    • Krish Ragunath
    • Peter Watson
    • Peter D Siersema
    • Stephen E Attwood

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    These are updated guidelines which supersede the original version published in 2004. This work has been endorsed by the Clinical Services and Standards Committee of the British Society of Gastroenterology (BSG) under the auspices of the oesophageal section of the BSG. The original guidelines have undergone extensive revision by the 16 members of the Guideline Development Group with representation from individuals across all relevant disciplines, including the Heartburn Cancer UK charity, a nursing representative and a patient representative. The methodological rigour and transparency of the guideline development processes were appraised using the revised Appraisal of Guidelines for Research and Evaluation (AGREE II) tool.Dilatation of the oesophagus is a relatively high-risk intervention, and is required by an increasing range of disease states. Moreover, there is scarcity of evidence in the literature to guide clinicians on how to safely perform this procedure. These guidelines deal specifically with the dilatation procedure using balloon or bougie devices as a primary treatment strategy for non-malignant narrowing of the oesophagus. The use of stents is outside the remit of this paper; however, for cases of dilatation failure, alternative techniques-including stents-will be listed. The guideline is divided into the following subheadings: (1) patient preparation; (2) the dilatation procedure; (3) aftercare and (4) disease-specific considerations. A systematic literature search was performed. The Grading of Recommendations Assessment, Develop-ment and Evaluation (GRADE) tool was used to evaluate the quality of evidence and decide on the strength of recommendations made.


    • UK guidelines on oesophageal dilatation in clinical practice

      Rights statement: Copyright 2018 the authors. This is an open access article published under a Creative Commons Attribution License (, which permits unrestricted use, distribution and reproduction in any medium, provided the author and source are cited.

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    Original languageEnglish
    Pages (from-to)1000-1023
    Journal publication date24 Feb 2018
    Issue number6
    Early online date24 Feb 2018
    Publication statusEarly online date - 24 Feb 2018

      Research areas

    • Dilatation/adverse effects, Endoscopy/methods, Esophageal Stenosis/surgery, Esophagus/pathology, Humans, United Kingdom

    ID: 157601952