Case series of endoscopic balloon dilation to treat a stricture caused by circumferential resection of the gastric antrum by endoscopic submucosal dissection

Endoscopic submucosal dissection: Sociedad Española de Endoscopia Digestiva (SEED) clinical guideline

“…Other new treatments include biodegradable or metal stent insertion, topical application of mitomycin C or apposition of cell layers to prevent stricture formation (123)(124)(125)(126). Management of antral stenosis has been based on endoscopic balloon dilation, with a significant risk of perforation (127,128). Finally, mucosal incision and local triamcinolone injection has been assayed (129).…”

Endoscopic submucosal dissection

“…These concern pain, stricture and bacteremia. [79][80][81] In cases of stricture, it has been proposed that large circumferential resections should be avoided. 79 The use of cellular therapy, such as extracellular matrix scaffold or autologous buccal keratinocyte implantation, has shown promising results in the prevention of esophageal strictures after circumferential mucosal resection.…”

“…[79][80][81] In cases of stricture, it has been proposed that large circumferential resections should be avoided. 79 The use of cellular therapy, such as extracellular matrix scaffold or autologous buccal keratinocyte implantation, has shown promising results in the prevention of esophageal strictures after circumferential mucosal resection. 82,83 Finally, when there is post-ESD stricture, the use of repeated balloon dilations might constitute a useful option.…”

“…82,83 Finally, when there is post-ESD stricture, the use of repeated balloon dilations might constitute a useful option. 79 Nevertheless, we still need to develop low-cost and low-risk techniques that are readily available. Mention should also be made of post-procedural discomfort after ESD.…”

Two Years' Intensive Training in Endoscopic Diagnosis Facilitates Detection of Early Gastric Cancer

“…Endoscopic treatment of gastric cancer, including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), has recently been developed in Japan and other countries, contributing improved quality of life for gastric cancer patients after curative treatment (3)(4)(5)(6). It is essential for endoscopic treatment to detect gastric cancer in the early stage with screening endoscopy, which facilitates endoscopic treatment alleviating the need for open surgery.…”