Endoscopic incisional therapy for benign esophageal strictures: Technique and results

Figure 1 Accessories for incisional therapy. A: Triple lumen needle knife; B: Hook knife; C: Needle knife (KD 10Q); D: Insulated tip knife; E: Endoscopic surgical scissors (Image courtesy of Olympus); F: Heiss-Device flexible endoscopic scissors (image courtesy of Telemed systems).

Figure 2 The technique of endoscopic incisional therapy procedure. A-D: Schematic front view of stricture site; B: Arrows depict the radial direction of incision; C: Curved arrows depict the slicing off of the intervening areas; D: Final outcome at the end of procedure; E: Lateral view of stricture site depicting the transverse working domain of the needle knife (arrows); 1: Use of needle knife for incision; 2: After radial incision; 3: At the end of EIT and balloon dilatation. EIT: Endoscopic incisional therapy.

Figure 3 Algorithm for the management of benign esophageal strictures.