Gastrointestinal Endoscopy
Volume 70, Issue 5 , Pages 849-855 , November 2009

A randomized comparison of electrocautery incision with Savary bougienage for relief of anastomotic gastroesophageal strictures

Received 14 November 2008 ,Accepted 19 February 2009.

References 

  1. Pierie JP, de Graaf PW, Poen H, et al. Incidence and management of benign anastomotic stricture after cervical oesophagogastrectomy. Br J Surg. 1993;80:471–474
  2. Lew RJ, Kochman ML. A review of endoscopic methods of esophageal dilation. J Clin Gastroenterol. 2002;35:117–126
  3. Honkoop P, Siersema PD, Tilanus HW, et al. Benign anastomotic strictures after transhiatal esophagectomy and cervical esophagostomy: risk factors and management. J Thorac Cardiovasc Surg. 1996;11:1141–1148
  4. Said A, Brust DJ, Gaumnitz EA, et al. Predictors of early recurrence of benign esophageal strictures. Am J Gastroenterol. 2003;98:1252–1256
  5. Shah JN. Benign refractory esophageal strictures: widening the endoscopist's role. Gastrointest Endosc. 2006;36:164–167
  6. Ikeya T, Ohwada S, Ogawa T, et al. Endoscopic balloon dilation for benign esophageal anastomotic stricture: factors influencing its effectiveness. Hepatogastroenterology. 1999;46:959–966
  7. Spechler SJ. AGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117:229–232
  8. Scolapio JS, Pasha TM, Gostout CJ, et al. A randomised prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. Gastrointest Endosc. 1999;50:13–17
  9. Pereira-Lima JC, Ramires RP, Zamin I, et al. Endoscopic dilation of benign esophageal strictures: report on 1043 procedures. Am J Gastroenterol. 1999;94:1497–1501
  10. Bapat RD, Bakhshi GD, Kantharia CV, et al. Self- bougienage: long-term relief of corrosive esophageal stricture. Indian J Gastroenterol. 2001;20:180–182
  11. Kochhar R, Makharia GK. Usefulness of intralesional triamcinolone in treatment of benign esophageal strictures. Gastrointest Endosc. 2002;56:829–834
  12. Chang AC, Orringer MB. Management of the cervical esophagogastric anastomotic stricture. Semin Thorac Cardiovasc Surg. 2007;19:66–71
  13. Wadhwa RP, Kozarek RA, France RE, et al. Use of self-expandable metallic stents in benign GI diseases. Gastrointest Endosc. 2003;58:207–212
  14. Radecke K, Gerken G, Treichel U. Impact of a self-expanding plastic esophageal stent on various esophageal stenoses, fistulas, and leakages: a single-center experience in 39 patients. Gastrointest Endosc. 2005;61:812–818
  15. Fry SW, Fleischer DE. Management of a refractory benign esophageal stricture with a new biodegradable stent. Gastrointest Endosc. 1997;45:179–182
  16. Saito Y, Tanaka T, Andoh A, et al. Novel biodegradable stents for benign esophageal strictures following endoscopic submucosa dissection. Dig Dis Sci. 2008;53:330–333
  17. Ibrahim A, Cole RA, Qureshi WA, et al. Schatzki's ring: to cut or break an unresolved problem. Dig Dis Sci. 2004;49:379–383
  18. DiSario JA, Pedersen PJ, Bichis-Canoutas C, et al. Incision of recurrent distal esophageal (Schatzki) ring after dilation. Gastrointest Endosc. 2002;56:244–248
  19. Brandimarte G, Tursi A. Endoscopic treatment of benign anastomotic esophageal stricture with electrocautery. Endoscopy. 2002;34:399–401
  20. Hagiwara A, Togawa T, Yamasaki J, et al. Endoscopic incision and balloon dilatation for cicatricial anastomotic strictures. Hepatogastroenterology. 1999;46:997–999
  21. Hordijk ML, Siersema PD, Tilanus HW, et al. Electrocautery therapy for refractory anastomotic strictures of the esophagus. Gastrointest Endosc. 2006;63:157–163
  22. Simmons DT, Baron TH. Electroincision of refractory esophagogastric anastomotic strictures. Dis Esophagus. 2006;19:410–414
  23. Schubert D, Kuhn R, Lippert H, et al. Endoscopic treatment of benign GI anastomotic strictures using argon plasma coagulation in combination with diathermy. Surg Endosc. 2003;17:1579–1582
  24. Pross M, Manger T, Lippert H. Combination of diathermia and argon plasma coagulation in treatment of cicatricial esophageal stenoses. Zentralbl Chir. 1998;123:1145–1147
  25. Venu RP, Geenen JE, Hogan WJ, et al. Endoscopic electrosurgical treatment for strictures of the gastrointestinal tract. Gastrointest Endosc. 1984;30:97–100
  26. Hagiwara A, Sonoyama Y, Togawa T, et al. Combined use of electrosurgical incisions and balloon dilatation for the treatment of refractory peri-operative pyloric stricture. Gastrointest Endosc. 2001;53:504–508
  27. Garcea G, Sutton CD, Lloyd TD, et al. Management of benign rectal strictures: a review of present therapeutic procedures. Dis Colon Rectum. 2003;46:145–160
  28. Brandimarte G, Tursi A, Gasbarrini G. Endoscopic treatment of benign anastomotic colorectal stricture with electrocautery. Endoscopy. 2000;32:461–463
  29. Hagiwara A, Sakakura C, Shirasu M, et al. Sigmoidofiberoptic incision plus balloon dilatation for anastomotic cicatricial stricture after anterior resection of the rectum. World J Surg. 1999;23:717–720
  30. Geller A, Gal E. Dilation of benign strictures following low anterior resection using Savary-Gilliard bougies. Endoscopic treatment of benign anastomotic colorectal stricture with electrocautery. Gastrointest Endosc. 2001;54:277–279
  31. Lee TH, Lee S-H, Park J-Y, et al. Endoscopic incisional therapy with Iso-Tome and transparent hood in patients with benign anastomotic esophageal stricture. [abstract] Gastrointest Endosc. 2008;67:AB90
  32. Moher D, Schulz KF, Altman D. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA. 2001;285:987–991
  33. Altman DG, Schulz KF, Moher D, et al. The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001;134:663–694
  34. Hordijk ML, Hooft van JE, Hansen BE, et al. A randomized comparative study between dilation by electrocautery incision and Savary bougies for benign anastomotic gastro-esophageal strictures. [abstract] Gastrointest Endosc. 2008;67:AB90
  35. McLarty AJ, Deschamps C, Trastek VF, et al. Esophageal resection for cancer of the esophagus: long-term function and quality of life. Ann Thorac Surg. 1997;63:1568–1571
  36. Blazeby JM, Conroy T, Hammerlid E, et al. Clinical and psychometric validation of an EORTC questionnaire module, the EORTC QLQ-OES 18, to assess quality of life in patients with oesophageal cancer. Eur J Cancer. 2003;39:1384–1394
  37. Williams VA, Watson TJ, Zhovis S, et al. Endoscopic and symptomatic assessment of anastomotic strictures following esophagectomy and cervical esophagogastrostomy. Surg Endosc. 2008;22:1470–1476
  38. Esophageal dilation. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc. 1998;48:702–704
  39. Hernandez LJ, Jacobson JW, Harris MS. Comparison among the perforation rates of Maloney, balloon, and Savary dilation of esophageal strictures. Gastrointest Endosc. 2000;51:460–462

 DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.

 See CME section; p. 976.

 Presented at Digestive Disease Week, May 19, 2008, San Diego, California (Gastrointest Endosc 2008;67:AB90).

 If you would like to chat with an author of this article, you may contact him at vanveenhordijk@planet.nl.

PII: S0016-5107(09)00422-2

doi: 10.1016/j.gie.2009.02.023

Gastrointestinal Endoscopy
Volume 70, Issue 5 , Pages 849-855 , November 2009