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World J Gastrointest Endosc. Dec 25, 2015; 7(19): 1318-1326
Published online Dec 25, 2015. doi: 10.4253/wjge.v7.i19.1318
Endoscopic incisional therapy for benign esophageal strictures: Technique and results
Jayanta Samanta, Narendra Dhaka, Saroj Kant Sinha, Rakesh Kochhar
Jayanta Samanta, Narendra Dhaka, Saroj Kant Sinha, Rakesh Kochhar, Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Samanta J and Dhaka N contributed to literature search, first draft and final approval of the manuscript; Sinha SK contributed to conception, literature search, critical revision of manuscript and final approval of the manuscript; Kochhar R contributed to conception, literature search, critical revision of manuscript and final approval of the manuscript.
Conflict-of-interest statement: Authors declare no conflict of interest for this article.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Rakesh Kochhar, Professor of Gastroenterology, Department of Gastroenterology, Post Graduate Institute of Medical Education and Research, Sector -12, Chandigarh 160012, India. dr_kochhar@hotmail.com
Telephone: +91-981-5699565 Fax: +91-172-2744401
Received: June 29, 2015
Peer-review started: July 1, 2015
First decision: August 25, 2015
Revised: September 20, 2015
Accepted: November 3, 2015
Article in press: November 4, 2015
Published online: December 25, 2015
Processing time: 176 Days and 8.1 Hours
Core Tip

Core tip: Benign esophageal strictures refractory to conventional balloon or bougie dilatation can be subjected to endoscopic incisional therapy. The technique entails the use of needle knife or scissors for radial incision and cutting off of the stenotic rim. Adjunctive therapies with balloon dilatation or intralesional steroids may be needed for prevention of re-stenosis. Current evidence suggests use of incisional therapy for refractory short segment (< 1 cm) anastomotic strictures and Schatzki’s rings with good safety profile and acceptable long term patency.