International Journal of Head and Neck Surgery

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VOLUME 2 , ISSUE 3 ( September-December, 2011 ) > List of Articles


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

Sudhir Naik, S Ravishankara, MC Shivakumar, Mohan K Appaji

Citation Information : Naik S, Ravishankara S, Shivakumar M, Appaji MK. A Case of Plummer-Vinson Syndrome Esophageal Web Dysphagia treated by Dilatation with Cuffed Endotracheal Tube. Int J Head Neck Surg 2011; 2 (3):161-165.

DOI: 10.5005/jp-journals-10001-1076

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2011; The Author(s).



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.


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.


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


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


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

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  1. A clinical type of dysphagia. J Laryngol Rhinol Otol 1919;34:289-91.
  2. Plummer-Vinson Syndrome: A case report and literature review. The Internet Journal of Dental Science 2007;5(2).
  3. Plummer-Vinson syndrome. Orphanet Encyclopedia 2005.
  4. Surgery of the chest (5th ed). 1990;pp. 881.
  5. Textbook of oral pathology (2nd ed) 1971;pp. 611-12.
  6. Post-cricoid carcinoma and Patterson-Kelly syndrome. J Laryngol Otol 1971;8:142-52.
  7. Syndrome of anemia, glossitis and dysphagia. Arch Intern Med 51:1-21.
  8. Iron and epithelium. Some clinical observations. Aeta Med Scan 1938;90(Suppl):360-97.
  9. Plummer-Vinson syndrome. Tunis Med 2007;85(5): 402-04.
  10. Plummer-Vinson syndrome. Orphanet J Rare Dis 2006;1:36.
  11. Plummer-Vinson syndrome: A rare presentation in a child. J Laryngol Otol 1999;113(5):475-76.
  12. Sideropenic dysphagia in an adolescent. J Pediatr Gastroenterol Nutr 2002;34(1):87-90.
  13. Rise and fall of the Plummer-Vinson syndrome. J Gastroenterol Hepatol 1994;9:654-58.
  14. Webs and web-like formations in the pharynx and cervical esophagus. Diag Imaging 1983;52:10-18.
  15. Plummer-Vinson syndrome. Dis Esophagus 2003;16(2):154-57.
  16. Medscape General Medicine 2002;4(3) @ 2002 medscape.
  17. Plummer-Vinson syndrome heralded by postcricoid carcinoma. Am J Otolaryngol 2007;28:22-24.
  18. Esophageal motility impairment in Plummer-Vinson syndrome. Correction by iron treatment. Dig Dis Sci 1993;38:968-71.
  19. Iron deficiency and dysphagia. Am J Gastroentero1 1999;94:3072-73.
  20. Esophageal contractions and oropharyngeal and esophageal transits in patients with iron deficiency anemia. Am J Gastroenterol 2003;98:1000-04.
  21. A triad of troubling findings. Plummer-Vinson syndrome. Postgrad Med 2000;108:109-10.
  22. Plummer-Vinson syndrome. A case report and literature review. Arch Intern Med 1995;155: 2008-11.
  23. A review of the Plummer-Vinson stricture of the cervical esophagus. Ulster Med J 47(Suppl 2):1-14.
  24. Esophageal web in Plummer-Vinson syndrome. Laryngoscope 1988;98:994-98.
  25. The Patterson-Brown-Kelly syndrome. Its relationship to iron deficiency and postcricoid carcinoma. J Laryngol Otol 75:529-61.
  26. Anemia with dysphagia: A precarious condition? Proc R Soc Med 322:1447-54.
  27. Gastric cancer occurring in a patient with Plummer-Vinson syndrome: A case report. World J Gastroenterol 2005;11(44):7048-50.
  28. Dysphagia caused by Plummer-Vinson syndrome. Endoscopy 2001;33:470.
  29. Risk factors for squamous cell carcinoma of the esophagus. Br J Surg 1996;83:1174-85.
  30. Plummer-Vinson syndrome and postcricoid carcinoma: Late complications of unrecognized celiac disease. Am J Gastroenterol 1999;94:1991.
  31. Dilation therapy of upper esophageal webs in two cases of Plummer-Vinson syndrome. Endoscopy 1996;28(2):266-67.
  32. Plummer-Vinson syndrome presenting with an esophageal stricture. J Clin Gastroenterol 1999;29(3):291-92.
  33. Successful treatment of congenital esophageal web by endoscopic electrocauterization and balloon dilatation. J Pediatr Surg 2008;43(1):e13-15.
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