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.
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.