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Outcomes of balloon dilation for the treatment of strictures after endoscopic submucosal dissection compared with peptic strictures

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Abstract

Background

The outcomes of balloon dilation for the treatment of strictures caused by endoscopic submucosal dissection (ESD) have not been evaluated previously. This study was designed to evaluate and compare the effectiveness and complications of balloon dilation for post-ESD strictures and peptic strictures.

Methods

The medical records of 14 patients with post-ESD strictures and 48 patients with peptic strictures who underwent fluoroscopically or endoscopically guided balloon dilation between January 1997 and April 2011 at the Asan Medical Center in Korea were reviewed retrospectively.

Results

The technical success rates (defined as successful dilation without major complications) of the post-ESD and peptic stricture groups were 92.9 % (13/14) and 93.8 % (45/48), respectively (p = 1.000). For the post-ESD and peptic stricture groups, the clinical success rates (defined as symptom improvement, as determined by the patient) at 1 month were 92.9 % (13/14) and 83.3 % (40/48), respectively (p = 0.67). Their clinical success rates at 6 months were 71.4 % (10/14) and 70 % (28/40), respectively (p = 1.000). The mean weight gains of the post-ESD stricture group 1 and 6 months after balloon dilation were 1.1 and 4.8 kg, respectively, whereas the peptic group gained 1.4 and 3.4 kg, respectively (p = 0.814). All complications were perforations. The complication rates of the post-ESD and peptic stricture groups were 7.1 % (1/14) and 10.5 % (5/48), respectively (p = 1.000).

Conclusions

Balloon dilation is an effective and safe treatment for post-ESD strictures.

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Disclosures

Hee Kyong Na, Kee Don Choi, Ji Yong Ahn, Hyun Lim, Mi-Young Kim, Jeong Hoon Lee, Kwi-Sook Choi, Do Hoon Kim, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung, Jin-Ho Kim, and JungBok Lee have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, No. 388-1 Pungnap-2 dong, Songpa-gu, Seoul, 138-736, Korea

    Hee Kyong Na, Kee Don Choi, Ji Yong Ahn, Hyun Lim, Mi-Young Kim, Jeong Hoon Lee, Kwi-Sook Choi, Do Hoon Kim, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung & Jin-Ho Kim

  2. Department of Clinical Epidemiology and Biostatics, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, No. 388-1 Pungnap-2 dong, Songpa-gu, Seoul, 138-736, Korea

    Jung Bok Lee

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Correspondence to Hee Kyong Na.

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Na, H.K., Choi, K.D., Ahn, J.Y. et al. Outcomes of balloon dilation for the treatment of strictures after endoscopic submucosal dissection compared with peptic strictures. Surg Endosc 27, 3237–3246 (2013). https://doi.org/10.1007/s00464-013-2900-0

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  • DOI: https://doi.org/10.1007/s00464-013-2900-0

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