Abstract
Endoscopic balloon dilatation (EBD) is a technique that is primarily performed for the prevention of postoperative strictures after endoscopic submucosal dissection (ESD) of semi-circumferential and circumferential esophageal carcinoma. This procedure is initiated early on in postoperative course. However, this imposes a long-term burden on the patient and carries the risk of perforation of the healing stricture. Local injection of a steroid drug was recently introduced, as it has been used for esophageal inflammation or after esophageal dilatation, and is injected into the resection plane as a preventive measure for postoperative strictures after ESD. With this therapy, additional EBD was unnecessary in approximately 80 % of the semi-circumferential resection cases, and it was possible to reduce the number of additional EBD for circumferential resection cases. Thus, local steroid injection therapy may be an alternative to EBD for preventing postoperative strictures.
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Takeuchi, M. (2015). Prevention of Stricture Formation After Esophageal Endoscopic Submucosal Dissection. In: Fukami, N. (eds) Endoscopic Submucosal Dissection. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2041-9_14
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DOI: https://doi.org/10.1007/978-1-4939-2041-9_14
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4939-2040-2
Online ISBN: 978-1-4939-2041-9
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