Stricture prevention after circumferential endoscopic submucosal dissection of the esophagus:Proactive vs reactive strategies  

作　　者：Giulio Calabrese Sandro Sferrazza Daryl Ramai Marcello Maida 

机构地区：[1]Department of Gastroenterology and Endoscopy,ARNAS Ospedali Civico-Di Cristina-Benfratelli,Palermo 90127,Sicilia,Italy [2]Division of Gastroenterology,Hepatology,and Endoscopy,Brigham and Women’s Hospital,Boston,MA 02115,United States [3]Department of Medicine and Surgery,University of Enna“Kore,”Enna 94100,Sicilia,Italy

出　　处：《World Journal of Gastrointestinal Endoscopy》2025年第3期5-11,共7页世界胃肠内镜杂志(英文)

摘　　要：In this editorial,we explored currently available strategies for reducing the occurrence of esophageal strictures following circumferential endoscopic submucosal dissection.This manuscript provided a comprehensive overview of the various strategies including recent insights from Wang et al.To this end,stenosis-related symptoms such as dysphagia and vomiting can severely affect a patient’s quality of life.Therefore,we assess the efficacy of both reactive and proactive measures,ranging from traditional approaches like endoscopic balloon dilation and steroid administration to more advanced techniques,including tissue engineering and polyglycolic acid sheet placement.However,no single treatment has shown high efficacy,particularly for resections involving the entire circumference.Despite these shortcomings,the combination of different strategies may improve patient outcomes,although further large-scale studies are needed for validation.

关 键 词：Endoscopic submucosal dissection ESOPHAGUS CIRCUMFERENTIAL STENOSIS STRICTURE 

分 类 号：R57[医药卫生—消化系统]