PT  - JOURNAL ARTICLE
AU  - Jeongmin Choi
AU  - Soo In Choi
TI  - A new simple endoscopic incision therapy for refractory benign oesophageal anastomotic stricture
AID  - 10.1136/bcr-2020-239798
DP  - 2021 Mar 01
TA  - BMJ Case Reports
PG  - e239798
VI  - 14
IP  - 3
4099  - http://casereports.bmj.com/content/14/3/e239798.short
4100  - http://casereports.bmj.com/content/14/3/e239798.full
SO  - BMJ Case Reports2021 Mar 01; 14
AB  - 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.