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Self-expandable metallic stents may be more efficient than balloon dilatation alone for esophageal stricture after circumferential endoscopic submucosal dissection: a retrospective cohort study in China

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Abstract

Introduction

Self-expandable metallic stents (SEMSs) can be used to treat esophageal stricture after circumferential endoscopic submucosal dissection (ESD), but its efficacy and placement timing remain to be determined. In this study, the treatment time and number of dilatations were compared between the SEMS placement group and the balloon dilatation (BD) group to clarify the efficacy and placement time of SEMSs in the treatment of esophageal stricture after circumferential esophageal ESD.

Methods

This was a retrospective cohort study. Patients with esophageal stricture after circumferential ESD between January 2015 and January 2020 were included. Data on the patients’ demographic characteristics, esophageal lesion-related factors, esophageal stricture occurrence, and measures taken to treat the stricture were collected. The primary outcome was the treatment time, and the secondary outcome was the number of dilatations.

Results

The total number of dilatations was 30 in the SEMS group and 106 in the BD group. The average number of dilatations in the SEMS group (1.76 ± 1.64) was significantly lower than that in the BD group (4.42 ± 5.32) (P = 0.016). Among the patients who underwent SEMS placement first had a shorter treatment time (average 119 days) than those who underwent BD first (average 245 days) (P = 0.041), and the average number of dilatations inpatients who underwent SEMS placement first (0.71 ± 1.07) was significantly lower than that in the patients who underwent BD first (2.5 ± 1.54).

Conclusion

SEMSs were more efficient in the treatment of esophageal stricture in a cohort of patients after circumferential esophageal ESD.

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Data availability

The Datasets used or analyzed during the current study are available from the corresponding author upon reasonable request.

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Acknowledgements

We thank all participants for their support and help during the study.

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Authors and Affiliations

  1. Department of Gastroenterology, Changhai Hospital, Navy Medical University, No. 168, Changhai Rd, Shanghai, China

    Jie Gao, Wei An, Qianqian Meng, Zhaoshen Li & Xingang Shi

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  1. Jie Gao
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  2. Wei An
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  3. Qianqian Meng
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  4. Zhaoshen Li
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  5. Xingang Shi
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Correspondence to Zhaoshen Li or Xingang Shi.

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Drs. Jie Gao, Wei An, Qian Meng, Zhaoshen Li, and Xingang Shi have no conflicts of interest or financial ties to disclose.

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Gao, J., An, W., Meng, Q. et al. Self-expandable metallic stents may be more efficient than balloon dilatation alone for esophageal stricture after circumferential endoscopic submucosal dissection: a retrospective cohort study in China. Surg Endosc 38, 2086–2094 (2024). https://doi.org/10.1007/s00464-024-10704-2

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  • DOI: https://doi.org/10.1007/s00464-024-10704-2

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