Year 2019 / Volume 111 / Number 9
Case Report
Incisional endoscopic therapy as a therapeutic alternative in esophageal anastomotic strictures refractory to conventional treatment

717-719

DOI: 10.17235/reed.2019.6196/2019

Esther Merino Gallego, Eva Martínez Amate, Francisco Javier Gallego Rojo,

Abstract
Esophageal anastomotic strictures are a non-negligible cause of benign strictures and secondary dysphagia. It should be noted that these are often complex strictures, with a large ischemic-fibrotic component. Thus, they are difficult to treat due to their recurrence, despite endoscopic dilation. Endoscopic incisional therapy appears as a therapeutic alternative in this type of patient, which allows the elimination of the stenotic ring, with a good efficacy and safety profile. We present the case of a patient with postoperative esophageal strictures refractory to treatment with dilation and endoscopic prosthesis, who was finally satisfactorily treated with incisional therapy.
Share Button
New comment
Comments
No comments for this article
References
1) Raskin JB, Manten H, Harary A, et al. Transendoscopic electrosurgical incision of lower esophageal (Schatzki) rings: a new treatment modality. Gastrointest Endosc 1985; 31: 391-393.
2) Van Boeckel PG, Siersema PD. Refractory esophageal strictures: what to do when dilation fails. Curr Treat Options Gastroenterol 2015;13: 47-58.
3) Siersema PD. Wijkerslooth LR. Dilatation of refractory benign esophageal strictures. Gastrointest Endosc 2009; 70:1000-12.
4) Suzuki T, Siddiqui A, Taylor LJ, et al. Clinical outcomes, efficacy, and adverse events in patients undergoing esophageal stent placement for bening indications: a large multicenter study. J Clin Gastroenterol 2016; 50:373-8.
5) Speer E, Dunst CM, Shada A, et al. Covered stents in cervical anastomoses following esophagectomy. Surg Endosc 2016; 30: 3290-303.
6) Samanta J, Dhaka N, Kant Sinha S, et al. Endoscopic inicisional therapy for benign esophageal strictures: Technique and results. World J Gastroenterol 2015; 7 (19):1318-1326.
7) Hordijk ML, van Hooft JE, Hansen BE, et al. A randomized comparison of electrocautery incision with Savary bougienage for relief of anastomotic gastroesophageal strictures.
Gastrointest Endosc 2009; 70: 849-855.
8) Lee TH, Lee SH, Park JY, et al. Primary incisional therapy with a modified method for patients with benign anastomotic esophageal stricture. Gastrointest Endosc 2009; 69: 1029-1033.
9) Muto M, Ezoe Y, Yano T, et al. Usefulness of endoscopic radial incision and cutting method for refractory esophagogastric anastomotic stricture (with video). Gastrointest Endosc. 2012 May;75(5):965-72.
10) Van Boeckel PG, Siersema PD. Refractory esophageal strictures: what to do when dilatation fails. Curr Treat Options Gastroenterol 2015; 13:47-58.
Related articles

Letter

Refractory benign esophageal strictures – Cut or dilate?

DOI: 10.17235/reed.2022.9153/2022

Citation tools
Merino Gallego E, Martínez Amate E, Gallego Rojo F. Incisional endoscopic therapy as a therapeutic alternative in esophageal anastomotic strictures refractory to conventional treatment. 6196/2019


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 956 visits.
This article has been downloaded 217 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 26/01/2019

Accepted: 03/03/2019

Online First: 23/07/2019

Published: 05/09/2019

Article revision time: 29 days

Article Online First time: 178 days

Article editing time: 222 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology