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, Development and Evaluation (GRADE) tool was used to evaluate the quality of evidence and decide on the strength of recommendations made.

中文翻译：

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英国临床实践中食管扩张指南

这些是取代 2004 年发布的原始版本的更新指南。这项工作已得到英国胃肠病学学会 (BSG) 临床服务和标准委员会的认可，该委员会由 BSG 食管科支持。最初的指南已经由指南制定小组的 16 名成员进行了广泛修订，来自所有相关学科的个人代表，包括英国胃灼热癌症慈善机构、一名护理代表和一名患者代表。指南制定过​​程的方法学严谨性和透明度使用修订后的研究和评估指南评估 (AGREE II) 工具进行评估。食道扩张是一种风险相对较高的干预措施，并且是越来越多的疾病状态所需要的。此外，文献中缺乏证据来指导临床医生如何安全地执行此程序。这些指南专门针对使用球囊或探条装置作为食管非恶性狭窄的主要治疗策略的扩张程序。支架的使用不在本文的讨论范围之内；但是，对于扩张失败的情况，将列出替代技术（包括支架）。本指南分为以下小标题： (1) 患者准备；(2) 扩张程序；(3) 善后护理和 (4) 特定疾病的考虑。进行了系统的文献检索。建议分级评估、制定和评估 (GRADE) 工具用于评估证据质量并决定所提出建议的强度。文献中缺乏证据来指导临床医生如何安全地执行此程序。这些指南专门针对使用球囊或探条装置作为食管非恶性狭窄的主要治疗策略的扩张程序。支架的使用不在本文的讨论范围之内；但是，对于扩张失败的情况，将列出替代技术（包括支架）。本指南分为以下小标题： (1) 患者准备；(2) 扩张程序；(3) 善后护理和 (4) 特定疾病的考虑。进行了系统的文献检索。建议分级评估、制定和评估 (GRADE) 工具用于评估证据质量并决定所提出建议的强度。文献中缺乏证据来指导临床医生如何安全地执行此程序。这些指南专门针对使用球囊或探条装置作为食管非恶性狭窄的主要治疗策略的扩张程序。支架的使用不在本文的讨论范围之内；但是，对于扩张失败的情况，将列出替代技术（包括支架）。本指南分为以下小标题： (1) 患者准备；(2) 扩张程序；(3) 善后护理和 (4) 特定疾病的考虑。进行了系统的文献检索。建议分级评估、制定和评估 (GRADE) 工具用于评估证据质量并决定所提出建议的强度。