Scar incision and endoscopic balloon dilation for severe benign esophageal strictures.

ABSTRACT:

Background and aims

Endoscopic balloon dilatation (EBD) is the primary treatment for benign esophageal strictures after endoscopic or surgical resection of esophageal cancer. Resolving these strictures often requires multiple sessions over time and risks perforation. To address these challenges, we developed a combined technique integrating scar incision with EBD, wherein scar incisions are created using a needle-knife before balloon dilation.

Methods

Linear incisions were made at the stricture site using a needle-knife, targeting areas with pronounced fibrosis or requiring tension release. Subsequently, EBD was performed to dilate the entire stricture site. These procedures were performed in 1 session. Additional EBD or EBD with scar incision sessions were conducted at inte

SUBMITTER: Tada N 

PROVIDER: S-EPMC12744736 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature