For patients with complex benign esophageal strictures, including tight, long, or tortuous strictures, endoscopic dilation is usually performed at 2- to 4-week intervals. The success rate with such an approach is moderate, 60% to 65%, at best. <\/p>\n\n\n\n
In this single-center report, a cohort of 57 patients was divided into 2 groups: patients who had failed to achieve success with esophageal dilations performed at \u22652-week intervals (group A=21) and those with newly diagnosed complex esophageal strictures without prior treatment (group B=36). Both groups had comparable characteristics: mean age of 65 years (group A) versus 61 years (group B), as well as baseline esophageal lumen of <5 mm and dysphagia grade of 3 or 4 (48% vs 53%) or baseline luminal diameter between 5 and 10 mm and dysphagia grade of 2 or 3 (48% vs 47%). <\/p>\n\n\n\n
Weekly esophageal dilations were initiated for both groups, with success defined as a luminal diameter of \u226514 mm and dysphagia-free, with minimal additional intervention. During a median follow-up of 4 years, 52 patients (92%) had reached a luminal diameter of \u226514 mm with an overall success rate of 74% (strictures recurred in 10 patients). Patients in group B achieved a higher long-term success rate than group A (83% vs 58%; P<\/em>=.033) through weekly dilations. Adverse events included bleeding (n=1), chest pain (n=2), and 1 patient death (0.2%) related to esophageal dilation (perforation).<\/p>\n","protected":false},"excerpt":{"rendered":" For patients with complex benign esophageal strictures, including tight, long, or tortuous strictures, endoscopic dilation is usually performed at 2- to 4-week intervals. The success rate with such an approach is moderate, 60% to 65%, at best. In this single-center report, a cohort of 57 patients was divided into 2 groups: patients who had failed … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[3323,3324,2098],"class_list":["post-12317","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-benign-esophageal-strictures","tag-esophageal-dilations","tag-esophagus-2"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/12317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=12317"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=12317"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=12317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}