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Esophageal anastomotic stricture

MedGen UID:
574494
•Concept ID:
C0341583
•
Pathologic Function
Synonym: Esophageal Anastomotic Stricture
SNOMED CT: Esophageal anastomotic stricture (236105003)

Definition

Luminal narrowing at the site of surgical resection and reconstruction of the esophagus. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEsophageal anastomotic stricture

Professional guidelines

PubMed

Surgical Treatment of Esophageal Anastomotic Stricture After Repair of Esophageal Atresia.
Kamran A, Smithers CJ, Izadi SN, Staffa SJ, Zurakowski D, Demehri FR, Mohammed S, Shieh HF, Ngo PD, Yasuda J, Manfredi MA, Hamilton TE, Jennings RW, Zendejas B
J Pediatr Surg 2023 Dec;58(12):2375-2383. Epub 2023 Jul 29 doi: 10.1016/j.jpedsurg.2023.07.014. PMID: 37598047
Can mitomycin facilitate endoscopic dilatation treatment of benign oesophageal stricture?
Deng HY, Wang WP, Lin YD, Chen LQ
Interact Cardiovasc Thorac Surg 2017 Jan;24(1):112-114. Epub 2016 Sep 23 doi: 10.1093/icvts/ivw318. PMID: 27664425
Primary incisional therapy with a modified method for patients with benign anastomotic esophageal stricture.
Lee TH, Lee SH, Park JY, Lee CK, Chung IK, Kim HS, Park SH, Kim SJ, Hong SJ, Lee MS
Gastrointest Endosc 2009 May;69(6):1029-33. Epub 2009 Feb 11 doi: 10.1016/j.gie.2008.07.018. PMID: 19215919

Recent clinical studies

Etiology

Risk factors for esophageal anastomotic stricture after esophagectomy: a meta-analysis.
Zhong Y, Sun R, Li W, Wang W, Che J, Ji L, Guo B, Zhai C
BMC Cancer 2024 Jul 19;24(1):872. doi: 10.1186/s12885-024-12625-8. PMID: 39030531Free PMC Article
Surgical Treatment of Esophageal Anastomotic Stricture After Repair of Esophageal Atresia.
Kamran A, Smithers CJ, Izadi SN, Staffa SJ, Zurakowski D, Demehri FR, Mohammed S, Shieh HF, Ngo PD, Yasuda J, Manfredi MA, Hamilton TE, Jennings RW, Zendejas B
J Pediatr Surg 2023 Dec;58(12):2375-2383. Epub 2023 Jul 29 doi: 10.1016/j.jpedsurg.2023.07.014. PMID: 37598047
Measuring esophageal anastomotic stricture index as a predictor of dilatation following esophageal atresia surgical repair.
Ordóñez Pereira J, Pérez Egido L, García-Casillas MA, Fanjul M, de la Torre M, Cerdá JA, Del Cañizo A, Peláez D, de Agustín JC
Cir Pediatr 2020 Jul 1;33(3):119-124. PMID: 32657095
Intralesional Steroid Injection Therapy for Esophageal Anastomotic Stricture Following Esophageal Atresia Repair.
Ngo PD, Kamran A, Clark SJ, Jennings RW, Hamilton TE, Smithers CJ, Zendejas B, Yasuda JL, Zurakowski D, Manfredi MA
J Pediatr Gastroenterol Nutr 2020 Apr;70(4):462-467. doi: 10.1097/MPG.0000000000002562. PMID: 31764412
The Esophageal Anastomotic Stricture Index (EASI) for the management of esophageal atresia.
Sun LY, Laberge JM, Yousef Y, Baird R
J Pediatr Surg 2015 Jan;50(1):107-10. Epub 2014 Nov 12 doi: 10.1016/j.jpedsurg.2014.10.008. PMID: 25598104

Diagnosis

Fiberoptic bronchoesophagoscopy-assisted evaluation and prognostic factor analysis in children with congenital esophageal atresia and tracheoesophageal fistula.
Chou CS, Soong WJ, Lee YS, Tsao PC, Chen WY, Chen SJ, Liu CS, Jeng MJ
J Chin Med Assoc 2020 Feb;83(2):180-187. doi: 10.1097/JCMA.0000000000000246. PMID: 31876795
Utilizing stricture indices to predict dilation of strictures after esophageal atresia repair.
Landisch RM, Foster S, Gregg D, Chelius T, Cassidy LD, Lerner D, Lal DR
J Surg Res 2017 Aug;216:172-178. Epub 2017 May 10 doi: 10.1016/j.jss.2017.04.024. PMID: 28807203
Clinical Outcomes of Dilation Therapy for Anastomotic Esophageal Stricture.
Choi CW, Kang DH, Kim HW, Park SB, Kim SJ, Nam HS, Ryu DG
Korean J Gastroenterol 2017 Feb 25;69(2):102-108. doi: 10.4166/kjg.2017.69.2.102. PMID: 28239078
Fluoroscopic balloon dilation of esophageal atresia anastomotic strictures in children and young adults: single-center study of 103 consecutive patients from 1999 to 2011.
Thyoka M, Barnacle A, Chippington S, Eaton S, Drake DP, Cross KM, De Coppi P, Kiely EM, Pierro A, Curry JI, Roebuck DJ
Radiology 2014 May;271(2):596-601. Epub 2013 Dec 10 doi: 10.1148/radiol.13122184. PMID: 24475793
Endoscopy in esophageal atresia and tracheoesophageal fistula.
Benjamin B
Ann Otol Rhinol Laryngol 1981 Jul-Aug;90(4 Pt 1):376-82. doi: 10.1177/000348948109000418. PMID: 7271151

Therapy

Risk factors for esophageal anastomotic stricture after esophagectomy: a meta-analysis.
Zhong Y, Sun R, Li W, Wang W, Che J, Ji L, Guo B, Zhai C
BMC Cancer 2024 Jul 19;24(1):872. doi: 10.1186/s12885-024-12625-8. PMID: 39030531Free PMC Article
Surgical Treatment of Esophageal Anastomotic Stricture After Repair of Esophageal Atresia.
Kamran A, Smithers CJ, Izadi SN, Staffa SJ, Zurakowski D, Demehri FR, Mohammed S, Shieh HF, Ngo PD, Yasuda J, Manfredi MA, Hamilton TE, Jennings RW, Zendejas B
J Pediatr Surg 2023 Dec;58(12):2375-2383. Epub 2023 Jul 29 doi: 10.1016/j.jpedsurg.2023.07.014. PMID: 37598047
Comparison of the Efficacy and Safety of Endoscopic Incisional Therapy and Balloon Dilatation for Esophageal Anastomotic Stricture.
Pih GY, Kim DH, Na HK, Ahn JY, Lee JH, Jung KW, Choi KD, Song HJ, Lee GH, Jung HY
J Gastrointest Surg 2021 Jul;25(7):1690-1695. Epub 2020 Oct 13 doi: 10.1007/s11605-020-04811-3. PMID: 33051806
Initial management of esophageal anastomotic strictures after transhiatal esophagectomy for esophageal cancer with dilations up to 18-20 mm.
Cubas R, Andres R, Chintalapani S, Roldan E, Marcadis A, Wu Chao Ying V, Bowles R, Martinez J
Surg Endosc 2021 Jul;35(7):3488-3491. Epub 2020 Jul 13 doi: 10.1007/s00464-020-07801-3. PMID: 32661710
Evaluation of the intraoperative risk factors for esophageal anastomotic complications after primary repair of esophageal atresia with tracheoesophageal fistula.
Okata Y, Maeda K, Bitoh Y, Mishima Y, Tamaki A, Morita K, Endo K, Hisamatsu C, Fukuzawa H, Yokoi A
Pediatr Surg Int 2016 Sep;32(9):869-73. Epub 2016 Jul 26 doi: 10.1007/s00383-016-3931-0. PMID: 27461430

Prognosis

Endoscopic radial incision versus endoscopic balloon dilation as initial treatments of benign esophageal anastomotic stricture.
Zhang ZC, Xu JQ, Xu JX, Xu MD, Chen SY, Zhong YS, Zhang YQ, Chen WF, Ma LL, Qin WZ, Hu JW, Cai MY, Yao LQ, Li QL, Zhou PH
J Gastroenterol Hepatol 2022 Dec;37(12):2272-2281. Epub 2022 Oct 9 doi: 10.1111/jgh.16005. PMID: 36128959
Measuring esophageal anastomotic stricture index as a predictor of dilatation following esophageal atresia surgical repair.
Ordóñez Pereira J, Pérez Egido L, García-Casillas MA, Fanjul M, de la Torre M, Cerdá JA, Del Cañizo A, Peláez D, de Agustín JC
Cir Pediatr 2020 Jul 1;33(3):119-124. PMID: 32657095
Endoscopic incision and selective cutting for primary treatment of benign esophageal anastomotic stricture: outcomes of 5 cases with a minimum follow-up of 12 months.
Li J, Zhao H, Ma Z, Liu B
Ann Palliat Med 2020 May;9(3):1206-1210. doi: 10.21037/apm-20-1090. PMID: 32498536
Fiberoptic bronchoesophagoscopy-assisted evaluation and prognostic factor analysis in children with congenital esophageal atresia and tracheoesophageal fistula.
Chou CS, Soong WJ, Lee YS, Tsao PC, Chen WY, Chen SJ, Liu CS, Jeng MJ
J Chin Med Assoc 2020 Feb;83(2):180-187. doi: 10.1097/JCMA.0000000000000246. PMID: 31876795
The Esophageal Anastomotic Stricture Index (EASI) for the management of esophageal atresia.
Sun LY, Laberge JM, Yousef Y, Baird R
J Pediatr Surg 2015 Jan;50(1):107-10. Epub 2014 Nov 12 doi: 10.1016/j.jpedsurg.2014.10.008. PMID: 25598104

Clinical prediction guides

Risk factors for esophageal anastomotic stricture after esophagectomy: a meta-analysis.
Zhong Y, Sun R, Li W, Wang W, Che J, Ji L, Guo B, Zhai C
BMC Cancer 2024 Jul 19;24(1):872. doi: 10.1186/s12885-024-12625-8. PMID: 39030531Free PMC Article
Endoscopic radial incision versus endoscopic balloon dilation as initial treatments of benign esophageal anastomotic stricture.
Zhang ZC, Xu JQ, Xu JX, Xu MD, Chen SY, Zhong YS, Zhang YQ, Chen WF, Ma LL, Qin WZ, Hu JW, Cai MY, Yao LQ, Li QL, Zhou PH
J Gastroenterol Hepatol 2022 Dec;37(12):2272-2281. Epub 2022 Oct 9 doi: 10.1111/jgh.16005. PMID: 36128959
Measuring esophageal anastomotic stricture index as a predictor of dilatation following esophageal atresia surgical repair.
Ordóñez Pereira J, Pérez Egido L, García-Casillas MA, Fanjul M, de la Torre M, Cerdá JA, Del Cañizo A, Peláez D, de Agustín JC
Cir Pediatr 2020 Jul 1;33(3):119-124. PMID: 32657095
Comparison of esophageal stent placement versus endoscopic incision method for treatment of refractory esophageal anastomotic stricture.
Wu P, Wang F, Wu X, Nie J, Ge X, Li Q, Lin J, Miao L
Ann Palliat Med 2019 Sep;8(4):462-468. doi: 10.21037/apm.2019.09.07. PMID: 31594374
The Esophageal Anastomotic Stricture Index (EASI) for the management of esophageal atresia.
Sun LY, Laberge JM, Yousef Y, Baird R
J Pediatr Surg 2015 Jan;50(1):107-10. Epub 2014 Nov 12 doi: 10.1016/j.jpedsurg.2014.10.008. PMID: 25598104

Recent systematic reviews

Risk factors for esophageal anastomotic stricture after esophagectomy: a meta-analysis.
Zhong Y, Sun R, Li W, Wang W, Che J, Ji L, Guo B, Zhai C
BMC Cancer 2024 Jul 19;24(1):872. doi: 10.1186/s12885-024-12625-8. PMID: 39030531Free PMC Article

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