2024/07/03 by Kenichiro Okimoto, Tomoaki Matsumura, Keisuke Matsusaka +4
Medicine · #Esophageal and GI Pathology #Gastric Cancer Management and Outcomes #Esophageal Cancer Research and Treatment
paper · pdf · doi:10.1055/a-2346-4577
Triamcinolone acetonide (TA) injection into submucosa is useful for prevention of stricture after esophageal endoscopic submucosal dissection (ESD) [1]. However, despite attempts with steroid use, complete circumferential esophageal ESD still leads to high stricture rates (36.4% to 85.7% [2] [3] [4]). Although endoscopic balloon dilatation (EBD) is often necessary for stricture relief, it carries the risk of perforation [2]. In addition, in long-segment Barrett's esophagus (BE) with Barrett's esophageal adenocarcinoma (BEA), post-ESD ulcers can be too long, making EBD challenging. Thus, alternative stricture methods preventing EBD are needed.