Article Text

Download PDFPDF
A new simple endoscopic incision therapy for refractory benign oesophageal anastomotic stricture
  1. Jeongmin Choi and
  2. Soo In Choi
  1. Department of Internal Medicine, Inje University Sanggye Paik Hospital, Nowon-gu, Korea
  1. Correspondence to Dr Jeongmin Choi; doct00{at}hanmail.net

Abstract

Oesophageal anastomotic stricture is a frequent complication after esophagectomy. In most cases, endoscopic bougination or balloon dilation usually resolves anastomotic stricture. However, some refractory oesophageal strictures remain difficult to treat and cause significant morbidity. Recently, successful treatment using endoscopic incisional therapy has been reported in several cases. We report a case of refractory benign oesophageal anastomotic stricture after oesophagectomy. A 72-year-old man underwent three consecutive bouginations. However, he developed progressive stricture. Stricture was successfully treated with an endoscopic knife incision. We performed only three incisions without a cutting method, which was new compared with previous reports. A new simple endoscopic incision technique is effective and safe for stricture management. In conclusion, endoscopic incisional therapy may be recommended as a salvage treatment for properly selected patients with refractory benign stricture who do not respond to conventional therapy.

  • endoscopy
  • oesophageal cancer

Statistics from Altmetric.com

Footnotes

  • Twitter @sooin

  • Contributors JC and SIC contributed to this manuscript regarding data acquisition, analysis, drafting and critical revision.

  • Funding This study was funded by Inje University (20190001).

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.