Endoscopic dilation of benign post-esophagectomy anastomotic strictures: long-term outcomes and risk of recurrence
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Date
2021-01-27
Authors
Mead Badir
Alain Suissa
Michael Orlovsky
Yousef Abu Asbeh
Iyad Khamaysi
Journal Title
Journal ISSN
Volume Title
Publisher
Hellenic Society of Gastroenterology
Abstract
This retrospective study evaluated long-term clinical outcomes of endoscopic dilation in patients with benign anastomotic strictures following esophagectomy. Thirty-five patients underwent 182 dilation procedures. Technical success was achieved in 100% of cases, and initial clinical improvement occurred in 91%. Overall clinical success was achieved in 69% of patients. Stricture recurrence occurred in 43%, and 29% developed refractory strictures. Proximal anastomosis and the presence of anastomotic foreign bodies were identified as significant risk factors for refractory strictures. Endoscopic dilation remains a safe and effective first-line therapy, although recurrence and refractoriness remain major clinical challenges.
Description
A retrospective analysis of endoscopic dilation outcomes in benign post-esophagectomy anastomotic strictures, demonstrating high technical success and acceptable clinical success, but with significant recurrence and refractory rates influenced by anastomotic location and foreign body presence.
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Citation
Badir M, Suissa A, Orlovsky M, Abu Asbeh Y, Khamaysi I. Endoscopic dilation of benign post-esophagectomy anastomotic strictures: long-term outcomes and risk of recurrence. Ann Gastroenterol. 2021;35(1):1-7. doi:10.20524/aog.2021.0590.