Progress in the treatment and prevention of esophageal stenosis after endoscopic submucosal dissection

Clin Res Hepatol Gastroenterol. 2024 Mar;48(3):102290. doi: 10.1016/j.clinre.2024.102290. Epub 2024 Feb 3.

Abstract

The primary treatment for early esophageal cancer and precancerous lesions is endoscopic submucosal dissection (ESD). However, this approach leads to a high incidence of postoperative esophageal stenosis, which can significantly impact a patient's quality of life. While various methods are available to prevent post-ESD esophageal stenosis, their effectiveness varies. Therefore, this study aims to provide an overview of the currently employed methods for preventing post-ESD esophageal stenosis in clinical practice in view of assisting clinical practitioners.

Keywords: Early esophageal cancer; Endoscopic submucosal dissection; Esophageal stenosis; Preventive approach.

Publication types

  • Review

MeSH terms

  • Endoscopic Mucosal Resection* / adverse effects
  • Endoscopic Mucosal Resection* / methods
  • Esophageal Neoplasms* / pathology
  • Esophageal Stenosis* / etiology
  • Esophageal Stenosis* / prevention & control
  • Humans
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Quality of Life