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    UK guidelines on oesophageal dilatation in clinical practice.

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    Authors
    Sami, S
    Haboubi, H
    Ang, Y
    Boger, P
    Bhandari, P
    de Caestecker, J
    Griffiths, H
    Haidry, R
    Laasch, Hans-Ulrich
    Patel, P
    Paterson, S
    Ragunath, K
    Watson, P
    Siersema, P
    Attwood, S
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    Affiliation
    Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA
    Issue Date
    2018-02-24
    
    Metadata
    Show full item record
    Abstract
    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.
    Citation
    UK guidelines on oesophageal dilatation in clinical practice. 2018, Gut
    Journal
    Gut
    URI
    http://hdl.handle.net/10541/620919
    DOI
    10.1136/gutjnl-2017-315414
    PubMed ID
    29478034
    Type
    Article
    Language
    en
    ISSN
    1468-3288
    ae974a485f413a2113503eed53cd6c53
    10.1136/gutjnl-2017-315414
    Scopus Count
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