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01-06-2021 | Eosinophilic Esophagitis | Review

Endoscopic Management of Refractory Benign Esophageal Strictures

Authors: Alessandro Fugazza, Alessandro Repici

Published in: Dysphagia | Issue 3/2021

Abstract

Benign esophageal strictures are commonly encountered in clinical practice. The principal etiologies of benign esophageal strictures include long term acid reflux, caustic injuries, eosinophilic esophagitis, anastomotic strictures or endoscopic therapy. Dysphagia is most prominently present in esophageal strictures along with a variety of other symptoms which depend on the stricture etiology. Benign esophageal strictures can be categorized into two groups: simple or complex depending on their structure. Most strictures can be treated successfully with endoscopic dilation by bougies or balloons dilators. In some cases, treatment is more challenging, involving a higher risk of the patient developing recurrent or refractory strictures. To improve symptoms in these patients, other endoscopic treatments such as steroid injection, incisional therapy and stent placement should be considered. In this manuscript, we provide a comprehensive review of the main treatment options currently available to manage recurrent benign esophageal strictures.

Ravich WJ. endoscopic management of benign esophageal strictures. Curr Gastroenterol Rep. 2017;19(10):50. https://doi.org/10.1007/s11894-017-0591-8.CrossRefPubMed

Adler DG, Siddiqui AA. Endoscopic management of esophageal strictures. Gastrointest Endosc. 2017;86(1):35–43. https://doi.org/10.1016/j.gie.2017.03.004.CrossRefPubMed

Siersema PD. Treatment options for esophageal strictures. Nat Clin Pract Gastroenterol Hepatol. 2008;5(3):142–52. https://doi.org/10.1038/ncpgasthep1053.CrossRefPubMed

Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML. Natural history and management of refractory benign esophageal strictures. Gastrointest Endosc. 2016;84(2):222–8. https://doi.org/10.1016/j.gie.2016.01.053.CrossRefPubMed

Everett SM. Endoscopic management of refractory benign oesophageal strictures. Ther Adv Gastrointest Endosc. 2019;12:2631774519862134. https://doi.org/10.1177/26317745198621.CrossRefPubMedPubMedCentral

Sami SS, Haboubi HN, Ang Y, Boger P, Bhandari P, de Caestecker J, Griffiths H, Haidry R, Laasch HU, Patel P, Paterson S, Ragunath K, Watson P, Siersema PD, Attwood SE. UK guidelines on oesophageal dilatation in clinical practice. Gut. 2018;67(6):1000–23. https://doi.org/10.1136/gutjnl-2017-315414.CrossRefPubMed

Beg S, Ragunath K, Wyman A, Banks M, Trudgill N, Pritchard DM, Riley S, Anderson J, Griffiths H, Bhandari P, Kaye P, Veitch A. Quality standards in upper gastrointestinal endoscopy: a position statement of the British Society of Gastroenterology (BSG) and Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS). Gut. 2017;66(11):1886–99. https://doi.org/10.1136/gutjnl-2017-314109.CrossRefPubMed

Uhlenhopp DJ, Then EO, Sunkara T, Gaduputi V. Epidemiology of esophageal cancer: update in global trends, etiology and risk factors. Clin J Gastroenterol. 2020;13(6):1010–21. https://doi.org/10.1007/s12328-020-01237-x.CrossRefPubMed

Weusten B, Bisschops R, Coron E, Dinis-Ribeiro M, Dumonceau JM, Esteban JM, Hassan C, Pech O, Repici A, Bergman J, di Pietro M. Endoscopic management of Barrett’s esophagus: European Society of Gastrointestinal Endoscopy (ESGE) position statement. Endoscopy. 2017;49(2):191–8. https://doi.org/10.1055/s-0042-122140.CrossRefPubMed

10.

Lew RJ, Kochman ML. A review of endoscopic methods of esophageal dilation. J Clin Gastroenterol. 2002;35(2):117–26. https://doi.org/10.1097/00004836-200208000-00001.CrossRefPubMed

11.

Spechler SJ. American gastroenterological association medical position statement on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117(1):229–33. https://doi.org/10.1016/s0016-5085(99)70572-x.CrossRefPubMed

12.

Shah JN. Benign refractory esophageal strictures: widening the endoscopist’s role. Gastrointest Endosc. 2006;63(1):164–7. https://doi.org/10.1016/j.gie.2005.08.033.CrossRefPubMed

13.

Fugazza A, Cappello A, Maselli R, Belletrutti P, Galtieri A, Pellegatta G, Repici A. Dual flexible endoscopic rendezvous approach for management of a Zenker’s diverticulum with complete esophageal obstruction. Endoscopy. 2019;51(9):E259–60. https://doi.org/10.1055/a-0894-4324.CrossRefPubMed

14.

Kochman ML, McClave SA, Boyce HW. The refractory and the recurrent esophageal stricture: a definition. Gastrointest Endosc. 2005;62(3):474–5. https://doi.org/10.1016/j.gie.2005.04.050.CrossRefPubMed

15.

Kochhar R, Malik S, Reddy YR, Dutta U, Dhaka N, Sinha SK, Mallick B, Yadav TD, Gupta V. Outcomes of endoscopic dilation in patients with esophageal anastomotic strictures: comparison between different etiologies. Dysphagia. 2020;35(1):73–83. https://doi.org/10.1007/s00455-019-10004-1.CrossRefPubMed

16.

van Boeckel PG, Siersema PD. Refractory esophageal strictures: what to do when dilation fails. Curr Treat Options Gastroenterol. 2015;13(1):47–58. https://doi.org/10.1007/s11938-014-0043-6.CrossRefPubMedPubMedCentral

17.

Agarwalla A, Small AJ, Mendelson AH, Scott FI, Kochman ML. Risk of recurrent or refractory strictures and outcome of endoscopic dilation for radiation-induced esophageal strictures. Surg Endosc. 2015;29(7):1903–12. https://doi.org/10.1007/s00464-014-3883-1.CrossRefPubMed

18.

Mendelson AH, Small AJ, Agarwalla A, Scott FI, Kochman ML. Esophageal anastomotic strictures: outcomes of endoscopic dilation, risk of recurrence and refractory stenosis, and effect of foreign body removal. Clin Gastroenterol Hepatol. 2015;13(2):263–71. https://doi.org/10.1016/j.cgh.2014.07.010.CrossRefPubMed

19.

Lu Q, Lei TT, Wang YL, Yan HL, Lin B, Zhu LL, Ma HS, Yang JL. Development and validation of a model to determine risk of refractory benign esophageal strictures. World J Clin Cases. 2019;7(13):1623–33. https://doi.org/10.12998/wjcc.v7.i13.1623.CrossRefPubMedPubMedCentral

20.

Vermeulen BD, de Zwart M, Sijben J, Soons E, van der Weerd L, Arese D, von den Hoff DW, Craviotto V, Tan A, Groenen MJM, Bogte A, Repici A, Spaander MCW, Siersema PD. Risk factors and clinical outcomes of endoscopic dilation in benign esophageal strictures: a long-term follow-up study. Gastrointest Endosc. 2020;91(5):1058–66. https://doi.org/10.1016/j.gie.2019.12.040.CrossRefPubMed

21.

Siersema PD. How to approach a patient with refractory or recurrent benign esophageal stricture. Gastroenterology. 2019;156(1):7–10. https://doi.org/10.1053/j.gastro.2018.11.040.CrossRefPubMed

22.

Walter B, Schmidbaur S, Rahman I, Albers D, Schumacher B, Meining A. The BougieCap—a new method for endoscopic treatment of complex benign esophageal stenosis: results from a multicenter study. Endoscopy. 2019;51(9):866–70. https://doi.org/10.1055/a-0959-1535.CrossRefPubMed

23.

Cox JG, Winter RK, Maslin SC, Jones R, Buckton GK, Hoare RC, Sutton DR, Bennett JR. Balloon or bougie for dilatation of benign oesophageal stricture? An interim report of a randomised controlled trial. Gut. 1988;29(12):1741–7. https://doi.org/10.1136/gut.29.12.1741.CrossRefPubMedPubMedCentral

24.

Saeed ZA, Winchester CB, Ferro PS, Michaletz PA, Schwartz JT, Graham DY. Prospective randomized comparison of polyvinyl bougies and through-the-scope balloons for dilation of peptic strictures of the esophagus. Gastrointest Endosc. 1995;41(3):189–95. https://doi.org/10.1016/s0016-5107(95)70336-5.CrossRefPubMed

25.

Yamamoto H, Hughes RW Jr, Schroeder KW, Viggiano TR, DiMagno EP. Treatment of benign esophageal stricture by Eder-Puestow or balloon dilators: a comparison between randomized and prospective nonrandomized trials. Mayo Clin Proc. 1992;67(3):228–36. https://doi.org/10.1016/s0025-6196(12)60097-4.CrossRefPubMed

26.

Josino IR, Madruga-Neto AC, Ribeiro IB, Guedes HG, Brunaldi VO, de Moura DTH, Bernardo WM, de Moura EGH. Endoscopic dilation with bougies versus balloon dilation in esophageal benign strictures: systematic review and meta-analysis. Gastroenterol Res Pract. 2018;2018:5874870. https://doi.org/10.1155/2018/5874870.CrossRefPubMedPubMedCentral

27.

van Halsema EE, Noordzij IC, van Berge Henegouwen MI, Fockens P, Bergman JJ, van Hooft JE. Endoscopic dilation of benign esophageal anastomotic strictures over 16 mm has a longer lasting effect. Surg Endosc. 2017;31(4):1871–81. https://doi.org/10.1007/s00464-016-5187-0.CrossRefPubMed

28.

Pereira-Lima JC, Ramires RP, Zamin I Jr, Cassal AP, Marroni CA, Mattos AA. Endoscopic dilation of benign esophageal strictures: report on 1043 procedures. Am J Gastroenterol. 1999;94(6):1497–501. https://doi.org/10.1111/j.1572-0241.1999.01061.x.CrossRefPubMed

29.

Ashcraft KW, Holder TM. The expeimental treatment of esophageal strictures by intralesional steroid injections. J Thorac Cardiovasc Surg. 1969;58(5):685–91.CrossRefPubMed

30.

Ramage JI Jr, Rumalla A, Baron TH, Pochron NL, Zinsmeister AR, Murray JA, Norton ID, Diehl N, Romero Y. A prospective, randomized, double-blind, placebo-controlled trial of endoscopic steroid injection therapy for recalcitrant esophageal peptic strictures. Am J Gastroenterol. 2005;100(11):2419–25. https://doi.org/10.1111/j.1572-0241.2005.00331.x.CrossRefPubMed

31.

Hirdes MM, van Hooft JE, Koornstra JJ, Timmer R, Leenders M, Weersma RK, Weusten BL, van Hillegersberg R, van Berge Henegouwen MI, Plukker JT, Wiezer R, Bergman JG, Vleggaar FP, Fockens P, Siersema PD. Endoscopic corticosteroid injections do not reduce dysphagia after endoscopic dilation therapy in patients with benign esophagogastric anastomotic strictures. Clin Gastroenterol Hepatol. 2013;11(7):795–801. https://doi.org/10.1016/j.cgh.2013.01.016.CrossRefPubMed

32.

Takahashi H, Arimura Y, Okahara S, Kodaira J, Hokari K, Tsukagoshi H, Shinomura Y, Hosokawa M. A randomized controlled trial of endoscopic steroid injection for prophylaxis of esophageal stenoses after extensive endoscopic submucosal dissection. BMC Gastroenterol. 2015;15:1. https://doi.org/10.1186/s12876-014-0226-6.CrossRefPubMedPubMedCentral

33.

Yang J, Wang X, Li Y, Lu G, Lu X, Guo D, Wang W, Liu C, Xiao Y, Han N, He S. Efficacy and safety of steroid in the prevention of esophageal stricture after endoscopic submucosal dissection: a network meta-analysis. J Gastroenterol Hepatol. 2019;34(6):985–95. https://doi.org/10.1111/jgh.14580.CrossRefPubMed

34.

Dasari CS, Jegadeesan R, Patel HK, Desai M, Aziz M, Thoguluvachandrasekar V, Duvvuri A, Kohli DR, Repici A, Siersema PD, Sharma P. Intralesional steroids and endoscopic dilation for anastomotic strictures after esophagectomy: systematic review and meta-analysis. Endoscopy. 2020;52(9):721–6. https://doi.org/10.1055/a-1172-5975.CrossRefPubMed

35.

Zhang YW, Wei FX, Qi XP, Liu Z, Xu XD, Zhang YC. Efficacy and safety of endoscopic intralesional triamcinolone injection for benign esophageal strictures. Gastroenterol Res Pract. 2018;2018:7619298. https://doi.org/10.1155/2018/7619298.CrossRefPubMedPubMedCentral

36.

Bartel MJ, Seeger K, Jeffers K, Clayton D, Wallace MB, Raimondo M, Woodward TA. Topical mitomycin C application in the treatment of refractory benign esophageal strictures in adults and comprehensive literature review. Dig Liver Dis. 2016;48(9):1058–65. https://doi.org/10.1016/j.dld.2016.06.024.CrossRefPubMed

37.

El-Asmar KM, Hassan MA, Abdelkader HM, Hamza AF. Topical mitomycin C application is effective in management of localized caustic esophageal stricture: a double-blinded, randomized, placebo-controlled trial. J Pediatr Surg. 2013;48(7):1621–7. https://doi.org/10.1016/j.jpedsurg.2013.04.014.CrossRefPubMed

38.

Ghobrial CM, Eskander AE. Prospective study of the effect of topical application of Mitomycin C in refractory pediatric caustic esophageal strictures. Surg Endosc. 2018;32(12):4932–8. https://doi.org/10.1007/s00464-018-6253-6.CrossRefPubMed

39.

Liang C, Tan Y, Lu J, Le M, Liu D. Endoscopic incision for treatment of benign gastrointestinal strictures. Expert Rev Gastroenterol Hepatol. 2020;14(6):445–52. https://doi.org/10.1080/17474124.2020.1766966.CrossRefPubMed

40.

Raskin JB, Manten H, Harary A, Redlhammer DE, Rogers AI. Transendoscopic electrosurgical incision of lower esophageal (Schatzki) rings: a new treatment modality. Gastrointest Endosc. 1985;31(6):391–3. https://doi.org/10.1016/s0016-5107(85)72257-2.CrossRefPubMed

41.

Lee TH, Lee SH, Park JY, Lee CK, Chung IK, Kim HS, Park SH, Kim SJ, Hong SJ, Lee MS. Primary incisional therapy with a modified method for patients with benign anastomotic esophageal stricture. Gastrointest Endosc. 2009;69(6):1029–33. https://doi.org/10.1016/j.gie.2008.07.018.CrossRefPubMed

42.

Muto M, Ezoe Y, Yano T, Aoyama I, Yoda Y, Minashi K, Morita S, Horimatsu T, Miyamoto S, Ohtsu A, Chiba T. Usefulness of endoscopic radial incision and cutting method for refractory esophagogastric anastomotic stricture (with video). Gastrointest Endosc. 2012;75(5):965–72. https://doi.org/10.1016/j.gie.2012.01.012.CrossRefPubMed

43.

Burdick JS, Venu RP, Hogan WJ. Cutting the defiant lower esophageal ring. Gastrointest Endosc. 1993;39(5):616–9. https://doi.org/10.1016/s0016-5107(93)70210-2.CrossRefPubMed

44.

DiSario JA, Pedersen PJ, Bichis-Canoutas C, Alder SC, Fang JC. Incision of recurrent distal esophageal (Schatzki) ring after dilation. Gastrointest Endosc. 2002;56(2):244–8. https://doi.org/10.1016/s0016-5107(02)70185-5.CrossRefPubMed

45.

Hordijk ML, van Hooft JE, Hansen BE, Fockens P, Kuipers EJ. A randomized comparison of electrocautery incision with Savary bougienage for relief of anastomotic gastroesophageal strictures. Gastrointest Endosc. 2009;70(5):849–55. https://doi.org/10.1016/j.gie.2009.02.023.CrossRefPubMed

46.

Yano T, Yoda Y, Satake H, Kojima T, Yagishita A, Oono Y, Ikematsu H, Kaneko K. Radial incision and cutting method for refractory stricture after nonsurgical treatment of esophageal cancer. Endoscopy. 2013;45(4):316–9. https://doi.org/10.1055/s-0032-1326016.CrossRefPubMed

47.

Poincloux L, Rouquette O, Abergel A. Endoscopic treatment of benign esophageal strictures: a literature review. Expert Rev Gastroenterol Hepatol. 2017;11(1):53–64. https://doi.org/10.1080/17474124.2017.1260002.CrossRefPubMed

48.

Simmons DT, Baron TH. Electroincision of refractory esophagogastric anastomotic strictures. Dis Esophagus. 2006;19(5):410–4. https://doi.org/10.1111/j.1442-2050.2006.00605.x.CrossRefPubMed

49.

Hagiwara A, Togawa T, Yamasaki J, Shirasu M, Sakakura C, Yamagishi H. Endoscopic incision and balloon dilatation for cicatricial anastomotic strictures. Hepatogastroenterology. 1999;46(26):997–9.PubMed

50.

Mangiavillano B, Auriemma F, Bianchetti M, Mantovani N, Pilati S, Reggio D, Barletti C, Forcignano E, Pentassuglia G, Arezzo A, Cavargini E, Fabbri C, Mezzanzanica M, De Luca L, Conigliaro R, Repici A. Through-the-scope esophageal stent for the relief of malignant dysphagia: results of a multicentric study (with video). Dig Endosc. 2020. https://doi.org/10.1111/den.13704.CrossRefPubMed

51.

Anderloni A, Genco C, Massidda M, Di Leo M, Fumagalli UR, Rosati R, Correale L, Maselli R, Ferrara EC, Jovani M, Repici A. Self-expanding metal stents for the treatment of post-surgical esophageal leaks: a tertiary referral center experience. Dig Surg. 2019;36(4):309–16. https://doi.org/10.1159/000489817.CrossRefPubMed

52.

Vleggaar FP, Siersema PD. Stents for benign esophageal strictures. Tech Gastrointest Endosc. 2010;12(4):231–6. https://doi.org/10.1016/j.tgie.2011.02.016.CrossRef

53.

Fuccio L, Hassan C, Frazzoni L, Miglio R, Repici A. Clinical outcomes following stent placement in refractory benign esophageal stricture: a systematic review and meta-analysis. Endoscopy. 2016;48(2):141–8. https://doi.org/10.1055/s-0034-1393331.CrossRefPubMed

54.

Spaander MC, Baron TH, Siersema PD, Fuccio L, Schumacher B, Escorsell A, Garcia-Pagan JC, Dumonceau JM, Conio M, de Ceglie A, Skowronek J, Nordsmark M, Seufferlein T, Van Gossum A, Hassan C, Repici A, Bruno MJ. Esophageal stenting for benign and malignant disease: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy. 2016;48(10):939–48. https://doi.org/10.1055/s-0042-114210.CrossRefPubMed

55.

Repici A, Hassan C, Sharma P, Conio M, Siersema P. Systematic review: the role of self-expanding plastic stents for benign oesophageal strictures. Aliment Pharmacol Ther. 2010;31(12):1268–75. https://doi.org/10.1111/j.1365-2036.2010.04301.x.CrossRefPubMed

56.

Siersema PD, de Wijkerslooth LR. Dilation of refractory benign esophageal strictures. Gastrointest Endosc. 2009;70(5):1000–12. https://doi.org/10.1016/j.gie.2009.07.004.CrossRefPubMed

57.

Hirdes MM, Vleggaar FP, Van der Linde K, Willems M, Totte ER, Siersema PD. Esophageal perforation due to removal of partially covered self-expanding metal stents placed for a benign perforation or leak. Endoscopy. 2011;43(2):156–9. https://doi.org/10.1055/s-0030-1255849.CrossRefPubMed

58.

van Heel NC, Haringsma J, Spaander MC, Bruno MJ, Kuipers EJ. Short-term esophageal stenting in the management of benign perforations. Am J Gastroenterol. 2010;105(7):1515–20. https://doi.org/10.1038/ajg.2010.104.CrossRefPubMed

59.

Walter D, van den Berg MW, Hirdes MM, Vleggaar FP, Repici A, Deprez PH, Viedma BL, Lovat LB, Weusten BL, Bisschops R, Haidry R, Ferrara E, Sanborn KJ, O’Leary EE, van Hooft JE, Siersema PD. Dilation or biodegradable stent placement for recurrent benign esophageal strictures: a randomized controlled trial. Endoscopy. 2018;50(12):1146–55. https://doi.org/10.1055/a-0602-4169.CrossRefPubMed

60.

Orive-Calzada A, Alvarez-Rubio M, Romero-Izquierdo S, Cobo Martin M, Juanmartinena JF, Ogueta-Fernandez M, Molina-Alvarez E, Erana-Ledesma L. Severe epithelial hyperplasia as a complication of a novel biodegradable stent. Endoscopy. 2009;41(Suppl 2):E137-138. https://doi.org/10.1055/s-0029-1214634.CrossRefPubMed

61.

Anderloni A, Fugazza A, Maroni L, Ormando V, Maselli R, Carrara S, Cappello A, Mangiavillano B, Omodei P, Preatoni P, Galtieri PA, Pellegatta G, Repici A. New biliary and pancreatic biodegradable stent placement: a single-center, prospective, pilot study (with video). Gastrointest Endosc. 2020. https://doi.org/10.1016/j.gie.2020.02.049.CrossRefPubMedPubMedCentral

62.

Fugazza A, Sethi A, Trindade AJ, Troncone E, Devlin J, Khashab MA, Vleggaar FP, Bogte A, Tarantino I, Deprez PH, Fabbri C, Aparicio JR, Fockens P, Voermans RP, Uwe W, Vanbiervliet G, Charachon A, Packey CD, Benias PC, El-Sherif Y, Paiji C, Ligresti D, Binda C, Martinez B, Correale L, Adler DG, Repici A, Anderloni A. International multicenter comprehensive analysis of adverse events associated with lumen-apposing metal stent placement for pancreatic fluid collection drainage. Gastrointest Endosc. 2020;91(3):574–83. https://doi.org/10.1016/j.gie.2019.11.021.CrossRefPubMed

63.

Fugazza A, Colombo M, Repici A, Anderloni A. Endoscopic ultrasound-guided gallbladder drainage: current perspectives. Clin Exp Gastroenterol. 2020;13:193–201. https://doi.org/10.2147/CEG.S203626.CrossRefPubMedPubMedCentral

64.

Anderloni A, Buda A, Carrara S, Di Leo M, Fugazza A, Maselli R, Repici A. Single-session double-stent placement in concomitant malignant biliary and duodenal obstruction with a cautery-tipped lumen apposing metal stent. Endoscopy. 2016;48(S 01):E321–2. https://doi.org/10.1055/s-0042-117425.CrossRefPubMed

65.

Mussetto A, Fugazza A, Fuccio L, Triossi O, Repici A, Anderloni A. Current uses and outcomes of lumen-apposing metal stents. Ann Gastroenterol. 2018;31(5):535–40. https://doi.org/10.20524/aog.2018.0287.CrossRefPubMedPubMedCentral

66.

Tan S, Zhong C, Huang S, Luo X, Xu J, Fu X, Peng Y, Tang X. Clinical outcomes of lumen-apposing metal stent in the management of benign gastrointestinal strictures: a systematic review and meta-analysis. Scand J Gastroenterol. 2019;54(7):811–21. https://doi.org/10.1080/00365521.2019.1638447.CrossRefPubMed

67.

Mohan BP, Chandan S, Garg R, Mohamed S, Shakhatreh M, Dugyala S, Mashiana HS, Ponnada S, Asokkumar R, Adler DG. Lumen-apposing metal stents, fully covered self-expanding metal stents, and biodegradable stents in the management of benign of GI strictures: a systematic review and meta-analysis. J Clin Gastroenterol. 2019;53(8):560–73. https://doi.org/10.1097/MCG.0000000000001228.CrossRefPubMed

68.

Vandenplas Y. Management of benign esophageal strictures in children. Pediatr Gastroenterol Hepatol Nutr. 2017;20(4):211–5. https://doi.org/10.5223/pghn.2017.20.4.211.CrossRefPubMedPubMedCentral

69.

Dall’Oglio L, Caldaro T, Foschia F, Faraci S, Federici di Abriola G, Rea F, Romeo E, Torroni F, Angelino G, De Angelis P. Endoscopic management of esophageal stenosis in children: new and traditional treatments. World J Gastrointest Endosc. 2016;8(4):212–9. https://doi.org/10.4253/wjge.v8.i4.212.CrossRefPubMedPubMedCentral

70.

Thomson M, Tringali A, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, Spaander M, Hassan C, Tzvinikos C, Ijsselstijn H, Viala J, Dall’Oglio L, Benninga M, Orel R, Vandenplas Y, Keil R, Romano C, Brownstone E, Hlava S, Gerner P, Dolak W, Landi R, Huber WD, Everett S, Vecsei A, Aabakken L, Amil-Dias J, Zambelli A. Paediatric gastrointestinal endoscopy: European society for paediatric gastroenterology hepatology and nutrition and european society of gastrointestinal endoscopy guidelines. J Pediatr Gastroenterol Nutr. 2017;64(1):133–53. https://doi.org/10.1097/MPG.0000000000001408.CrossRefPubMed

71.

Sweed AS, Fawaz SA, Ezzat WF, Sabri SM. A prospective controlled study to assess the use of mitomycin C in improving the results of esophageal dilatation in post corrosive esophageal stricture in children. Int J Pediatr Otorhinolaryngol. 2015;79(1):23–5. https://doi.org/10.1016/j.ijporl.2014.10.024.CrossRefPubMed

72.

Lange B, Kubiak R, Wessel LM, Kahler G. Use of fully covered self-expandable metal stents for benign esophageal disorders in children. J Laparoendosc Adv Surg Tech A. 2015;25(4):335–41. https://doi.org/10.1089/lap.2014.0203.CrossRefPubMed

73.

Manfredi MA, Jennings RW, Anjum MW, Hamilton TE, Smithers CJ, Lightdale JR. Externally removable stents in the treatment of benign recalcitrant strictures and esophageal perforations in pediatric patients with esophageal atresia. Gastrointest Endosc. 2014;80(2):246–52. https://doi.org/10.1016/j.gie.2014.01.033.CrossRefPubMed

74.

Lo A, Baird R, De Angelis P, Levesque D, Morinville V, di Abriola GF, Caldero T, Laberge JM, Dall’Oglio L. Arterioesophageal fistula after stenting for esophageal atresia. J Pediatr Gastroenterol Nutr. 2013;56(5):e30-31. https://doi.org/10.1097/MPG.0b013e31824ffd7f.CrossRefPubMed

75.

van Twisk JJ, Brummer RJ, Manni JJ. Retrograde approach to pharyngo-esophageal obstruction. Gastrointest Endosc. 1998;48(3):296–9. https://doi.org/10.1016/s0016-5107(98)70195-6.CrossRefPubMed

76.

Bueno R, Swanson SJ, Jaklitsch MT, Lukanich JM, Mentzer SJ, Sugarbaker DJ. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc. 2001;54(3):368–72. https://doi.org/10.1067/mge.2001.117517.CrossRefPubMed

77.

Bertolini R, Meyenberger C, Putora PM, Albrecht F, Broglie MA, Stoeckli SJ, Sulz MC. Endoscopic dilation of complete oesophageal obstructions with a combined antegrade-retrograde rendezvous technique. World J Gastroenterol. 2016;22(7):2366–72. https://doi.org/10.3748/wjg.v22.i7.2366.CrossRefPubMedPubMedCentral

78.

Jayaraj M, Mohan BP, Mashiana H, Krishnamoorthi R, Adler DG. Safety and efficacy of combined antegrade and retrograde endoscopic dilation for complete esophageal obstruction: a systematic review and meta-analysis. Ann Gastroenterol. 2019;32(4):361–9. https://doi.org/10.20524/aog.2019.0385.CrossRefPubMedPubMedCentral

79.

Delconte G, Mancini A, Vleggaar FP, Salvetti M, Mazzaferro V, Masci E. Endoscopic ultrasound-guided esophagoenterostomy for a completely obstructed surgical anastomosis. Endoscopy. 2016;48(Suppl 1):E1-2. https://doi.org/10.1055/s-0041-110591.CrossRefPubMed

80.

He K, Zhao L, Bu S, Liu L, Wang X, Wang M, Fan Z. Endoscopic mucosal autograft for treating esophageal caustic strictures: preliminary human experience. Endoscopy. 2018;50(10):1017–21. https://doi.org/10.1055/a-0622-8019.CrossRefPubMed

81.

Warner JN, Wisenbaugh ES, Martins FE. Bulbar urethral stricture: how to optimise the use of buccal mucosal grafts. Arab J Urol. 2016;14(2):78–83. https://doi.org/10.1016/j.aju.2016.01.002.CrossRefPubMedPubMedCentral

82.

Hochberger J, Koehler P, Wedi E, Gluer S, Rothstein RI, Niemann H, Hilfiker A, Gonzalez S, Kruse E. Transplantation of mucosa from stomach to esophagus to prevent stricture after circumferential endoscopic submucosal dissection of early squamous cell. Gastroenterology. 2014;146(4):906–9. https://doi.org/10.1053/j.gastro.2014.01.063.CrossRefPubMed

83.

Boyce HW Jr. Precepts of safe esophageal dilation. Gastrointest Endosc. 1977;23(4):215. https://doi.org/10.1016/s0016-5107(77)73659-4.CrossRefPubMed

84.

Kaplan M, Mutlu EA, Jakate S, Bruninga K, Losurdo J, Losurdo J, Keshavarzian A. Endoscopy in eosinophilic esophagitis: “feline” esophagus and perforation risk. Clin Gastroenterol Hepatol. 2003;1(6):433–7. https://doi.org/10.1016/s1542-3565(03)00222-2.CrossRefPubMed

85.

Dellon ES, Liacouras CA. Advances in clinical management of eosinophilic esophagitis. Gastroenterology. 2014;147(6):1238–54. https://doi.org/10.1053/j.gastro.2014.07.055.CrossRefPubMed

86.

Irani S, Kozarek RA. Techniques and principles of endoscopic treatment of benign gastrointestinal strictures. Curr Opin Gastroenterol. 2015;31(5):339–50. https://doi.org/10.1097/MOG.0000000000000200.CrossRefPubMed

87.

Silvis SE, Nebel O, Rogers G, Sugawa C, Mandelstam P. Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. JAMA. 1976;235(9):928–30. https://doi.org/10.1001/jama.235.9.928.CrossRefPubMed

88.

Zuccaro G Jr, Richter JE, Rice TW, Achkar E, Easley K, Lewis J, Gordon SM. Viridans streptococcal bacteremia after esophageal stricture dilation. Gastrointest Endosc. 1998;48(6):568–73. https://doi.org/10.1016/s0016-5107(98)70037-9.CrossRefPubMed

89.

Committee ASoP, Khashab MA, Chithadi KV, Acosta RD, Bruining DH, Chandrasekhara V, Eloubeidi MA, Fanelli RD, Faulx AL, Fonkalsrud L, Lightdale JR, Muthusamy VR, Pasha SF, Saltzman JR, Shaukat A, Wang A, Cash BD. Antibiotic prophylaxis for GI endoscopy. Gastrointest Endosc. 2015;81(1):81–9. https://doi.org/10.1016/j.gie.2014.08.008.CrossRef

90.

Samanta J, Dhaka N, Sinha SK, Kochhar R. Endoscopic incisional therapy for benign esophageal strictures: technique and results. World J Gastrointest Endosc. 2015;7(19):1318–26. https://doi.org/10.4253/wjge.v7.i19.1318.CrossRefPubMedPubMedCentral

91.

Siersema PD. Management of refractory benign esophageal strictures. Gastroenterol Hepatol (N Y). 2018;14(3):189–91.

Title: Endoscopic Management of Refractory Benign Esophageal Strictures
Authors: Alessandro Fugazza
Alessandro Repici
Publication date: 01-06-2021
Publisher: Springer US
Keywords: Eosinophilic Esophagitis
Dysphagia
Dysphagia
Dysphagia
Published in: Dysphagia / Issue 3/2021
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-021-10270-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Endoscopic Management of Refractory Benign Esophageal Strictures

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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