Endoscopic balloon dilation for benign esophageal anastomotic stricture

Ogawa, Tomoya; Ohwada, Susumu; Takeyoshi, Isumi; Tanahashi, Yoshifumi; Kawashima, Y; Ohya, Tomohiko R.; Kawashima, Kazumasa; Kawate, Susumu; Yamada, Takuya; Nakasone, Yasuji; Aiba, Masahiro; Koyama, Tetsuo; Morishita, Yuka

doi:10.1016/s0016-5085(98)82688-7

Cited by 3 publications

(4 citation statements)

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“…For another patient with anastomotic stricture caused by recurrence, who was in good general condition, endoscopic balloon dilatation was effective in maintaining a reasonable quality of life. We performed endoscopic balloon dilatation for anastomotic stricture as salvage therapy, which was effective for benign esophagojejunal anastomotic stricture [25,26], but there are other salvage treatments available. Some studies have shown that a self-expandable metal stent provides safe and effective palliation of anastomotic recurrence of gastric cancer [27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Influence of a Positive Proximal Margin on Oral Intake in Patients with Palliative Gastrectomy for Far Advanced Gastric Cancer

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Influence of a Positive Proximal Margin on Oral Intake in Patients with Palliative Gastrectomy for Far Advanced Gastric Cancer

et al. 2011

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“…Benign anastomotic stricture is one of the most common complications of esophagectomy for esophageal cancer, which is mainly caused by excessive scar induced by reflux esophagitis or tissue repair response. [ 8 , 10 ] Other causes include caustic damage, [ 10 ] radiation esophagitis, [ 10 ] and sclerotherapy. The treatment strategies and prognosis of postoperative anastomosis are different between malignant and benign stricture.…”

Section: Discussionmentioning

confidence: 99%

“…[3,5] Although it is reported that esophageal plastic stents may provide an alternative approach to traditional dilatation for treating benign esophageal strictures. [6,7] Serial dilatation with balloon catheter [8][9][10] and push-type dilators [11] are usually performed with good clinical outcomes. However, Maloney bougies exert longitudinal shearing forces, which are theoretically dangerous than balloon catheter.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, the optimal diameter for dilatations of benign anastomic stricture is still unknown, although 13 to 15 mm in diameter is recommended [ 11 ] and larger dilatation with more than 15 mm in diameter is also performed. [ 8 ] In previous study, large balloon angioplasty is safe and effective for Budd-Chiari syndrome patients. [ 12 ] However, large balloon dilatation have not been reported for benign anastomic strictures.…”

Section: Introductionmentioning

confidence: 99%

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Long-term outcomes of large balloon dilatation for benign anastomotic stricture following surgical resection of esophageal cancer

Bi,

Ren,

Han

2023

Medicine

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Surgical resection of esophageal cancer may result in benign anastomotic strictures, which are usually treated by balloon dilatation. Here we reported the long-term outcomes of large balloon dilatation for benign anastomotic strictures secondary to esophagectomy for esophageal cancer. From February 2011 to December 2016, 27 esophageal cancer patients underwent large balloon dilatation for benign strictures following surgical resection. Clinical success rate, number of dilatation sessions, complication rate, and mortality rate were evaluated. A total of 27 patients developed a benign stricture at the esophagectomy site. A total of 50 dilatation sessions of large balloon were performed, with a mean of 1.8 sessions per patients (range 1.0–5.0). Only 1 perforation was observed (2.0% per dilatation session), and required no surgery. No procedure-related deaths were recorded. Large balloon dilation was technically successful in the remained 26 patients (96.3%). Dysphagia score and stricture index decreased significantly (P < .0001). Proximal diameter of stricture, stricture diameter and length decreased significantly. Patients were followed up for 36.3 ± 7.1 months, and 14 patients survived without dysphagia. The survival rates were 95.0%, 69.1%, 34.5% for 1, 5, and 9 years, respectively. The median survival was 96.0 months. Large balloon dilatation can be a safe and feasible treatment for benign anastomic strictures following surgical resection of esophageal cancer, with a low perforation rate. However, further study compared with small balloon dilatation is warranted.

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