Article
Medicine, General & Internal
Yonghua Bi, Jianzhuang Ren, Xinwei Han
Summary: This study reported the long-term outcomes of large balloon dilation for benign anastomotic strictures following esophagectomy for esophageal cancer. The results showed that large balloon dilation had a high clinical success rate, a low perforation rate, and significantly improved dysphagia symptoms in patients.
Article
Gastroenterology & Hepatology
Jinshi Huang, Junmin Liao, Shen Yang, Yanan Zhang, Yong Zhao, Yichao Gu, Kaiyun Hua, Shuangshuang Li, Leizhen Xia, Siyu Cai
Summary: The study found that endoscopic balloon dilatation significantly improved stricture diameter and stricture indexes in children with anastomotic stricture after EA repair. Factors such as dilatation number and U-SI at 6 months after the first dilatation were useful predictors for medium-term dilatation success. Additionally, the combination of U-SI and dilatation number had high accuracy in predicting success 6 months after the first dilatation.
DISEASES OF THE ESOPHAGUS
(2021)
Article
Surgery
Daniel Castaneda, Francisco Franco Azar, Ishtiaq Hussain, Badar Hasan, Roger Charles, Ronnie Pimentel, Fernando J. Castro
Summary: Post-RYGB anastomotic strictures can be successfully treated with hydrostatic balloon dilation, but patients with delayed dilations and pre-existing nausea/vomiting have an increased risk of dilation failure and need for further interventions.
Article
Gastroenterology & Hepatology
Takeshi Tomoda, Hironari Kato, Toru Ueki, Tsuneyoshi Ogawa, Ken Hirao, Yutaka Akimoto, Kazuyuki Matsumoto, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada
Summary: Endoscopic balloon dilatation combined with plastic stent deployment for 6 months is a safe and effective strategy for HJAS, achieving a high resolution rate for strictures with low incidence of adverse events.
DIGESTIVE ENDOSCOPY
(2022)
Article
Pediatrics
Hamish Walker, Adeline Salim, Charlotte Smith, Fiona Murphy
Summary: This study aims to provide guidance for the selection of balloon catheter size in oesophageal dilatation for post oesophageal atresia repair strictures. It is a retrospective study conducted at a paediatric tertiary centre, and the results show a strong correlation between weight and balloon size, leading to recommendations for selecting the appropriate balloon size based on patients' weight.
PEDIATRIC SURGERY INTERNATIONAL
(2023)
Article
Gastroenterology & Hepatology
Gyu Young Pih, Do Hoon Kim, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
Summary: Through reviewing the medical records of patients who underwent primary treatment for esophagojejunostomy anastomotic stricture after a total gastrectomy between 2010 and 2018, we found that endoscopic incisional therapy (EIT) is a safe and effective treatment modality compared with balloon dilatation, showing a significantly lower re-stricture rate.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Gastroenterology & Hepatology
Oren Ledder, Jerome Viala, Daniela Elena Serban, Darja Urlep, Lissy De Ridder, Massimo Martinelli, Claudio Romano, Peter Church, Chris Griffiths, Salvatore Oliva, Dharam Basude, Shishu Sharma, Mike Thomson
Summary: This study evaluated the efficacy and safety of endoscopic balloon dilatation (EBD) in pediatric Crohn disease (CD) with strictures. The results showed that EBD is effective in relieving symptoms and avoiding surgery in pediatric CD patients with strictures, with low rates of adverse events.
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION
(2023)
Article
Oncology
Shuai Wang, Xiaobing Li, Chenchen Zhang, Meipan Yin, Yaozhen Ma, Yalin Tong, Meng Wang, Chao Liu, Ming Zhu, Gang Wu
Summary: This study retrospectively analyzed the clinical data of 378 patients with esophagogastric anastomotic stricture treated by balloon dilatation, showing that balloon dilatation was effective and successful in most cases but also carried some risk of complications. Balloon diameter, preoperative radiotherapy, and chemoradiotherapy were found to be correlated with anastomotic rupture, and different treatment methods were suggested for various types of ruptures.
Article
Medicine, General & Internal
Yukie Hayashi, Kaoru Takabayashi, Naoki Hosoe, Hiroki Kiyohara, Satoshi Kinoshita, Kosaku Nanki, Kayoko Fukuhara, Yohei Mikami, Tomohisa Sujino, Makoto Mutaguchi, Takaaki Kawaguchi, Motohiko Kato, Haruhiko Ogata, Takanori Kanai
Summary: In Crohn's disease patients with small bowel stenosis, not consuming an elemental diet and having ileocecal valve stenosis predict a long-term intervention-free prognosis. Long-term follow-up without endoscopic intervention may be possible in asymptomatic patients with ileocecal valve stenosis.
ANNALS OF MEDICINE
(2021)
Article
Urology & Nephrology
Cameron J. Britton, Vidit Sharma, Anthony E. Fadel, Elizabeth Bearrick, Bridget L. Findlay, Igor Frank, Matthew K. Tollefson, R. Jeffrey Karnes, Boyd R. Viers
Summary: The study aims to identify risk factors for vesicourethral anastomotic stenosis after radical prostatectomy and further characterize its natural progression and treatment patterns. It was found that surgical technique, perioperative morbidity, and patient-related factors influence the risk of vesicourethral anastomotic stenosis, which is independently associated with increased risk of urinary incontinence.
JOURNAL OF UROLOGY
(2023)
Review
Medicine, General & Internal
Fotios S. Fousekis, Ioannis V. Mitselos, Kostas Tepelenis, George Pappas-Gogos, Konstantinos H. Katsanos, Georgios D. Lianos, Francesco Frattini, Konstantinos Vlachos, Dimitrios K. Christodoulou
Summary: Approximately one-third of patients with Crohn's disease develop fibrostenotic intestinal disease, which is difficult to treat even with new biologic agents. Medical treatment, especially anti-TNF agents, provides the most significant benefit for inflammatory strictures. However, surgery may be required for patients with fibrotic strictures or those refractory to medical treatment. Endoscopic balloon dilatation and endoscopic stricturoplasty are minimally invasive and safe options, while surgery is indicated for patients who cannot undergo endoscopic therapy. This review presents and analyzes the available medical, endoscopic, and surgical management approaches for stricturing Crohn's disease.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Yusheng Chen, Zhenya Sun, Zhun Li, Ming Duan, Yan Zhou, Yi Li, Weiming Zhu, Zhen Guo
Summary: A retrospective study compared the efficacy and safety of endoscopic balloon dilation (EBD) and surgery in the treatment of duodenal stricture in patients with Crohn's disease (CD). Surgery was associated with longer recurrence-free survival but more postprocedural adverse events. EBD was safe and effective but had a higher frequency of recurrence.
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
(2023)
Review
Gastroenterology & Hepatology
Julien D. Schulberg, Emily K. Wright, Bronte A. Holt, Helen E. Wilding, Amy L. Hamilton, Alyson L. Ross, Michael A. Kamm
Summary: This study provides a summary of the latest advances in the treatment of stricturing Crohn's disease patients, indicating that anti-TNF drug therapy and endoscopic balloon dilation are effective strategies for avoiding surgery, while other drug therapies do not show significant benefits. Further evaluation is needed to assess the potential greater benefits of combining therapies.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Medicine, General & Internal
Xin Miao, Li Liu, Xiang Wang, Zhining Fan, Lin Miao, Jiankun Wang
Summary: This study investigated the feasibility of endoscopic dilation combined with bleomycin injection for benign anastomotic stricture after rectal surgery. The results showed that compared to simple endoscopic dilation, endoscopic dilation combined with bleomycin injection may reduce the treatment times and prolong the reintervention interval. This is a safe and effective treatment method.
Article
Multidisciplinary Sciences
Shuai Wang, Meipan Yin, Meng Wang, Yalin Tong, Yue Zhao, Yaozhen Ma, Xiaobing Li, Pengfei Xie, Gang Wu
Summary: The study evaluated the safety and efficacy of balloon dilatation (BD) with balloons of 25-30 millimeters in diameter for esophagogastric anastomotic stricture (EAS) treatment. Results showed a high success rate and low incidence of serious adverse events, with balloon diameter being a significant factor for stricture-free survival. This suggests that large balloon dilatation under fluoroscopy is a safe and effective treatment option for benign EAS after esophagectomy.
ANNALS OF THE NEW YORK ACADEMY OF SCIENCES
(2021)