Table 1.
Study | Study design | Preventive method | Control group | Luminal circumference | No. of cases | Stricture rate | No. of EBD |
---|---|---|---|---|---|---|---|
Hanaoka et al. (2012)38 | Single-arm, prospective study | Triamcinolone injection | Historical control without any prophylactic therapy | ≥3/4 Circumferential mucosal defect | 30/29 | 10% vs. 66% (p<0.001) | Median 0 vs. 2 (p<0.001) |
Yamaguchi et al. (2011)39 | Single-center retrospective study | Oral steroid administration | Prophylactic EBD | ≥3/4 Circumferential mucosal defect | 19/22 | 5.3% vs. 31.8% (p=0.03) | Mean 1.7 vs. 15.6 (p<0.001) |
Tanaka et al. (2022)40 | Multicenter, phase 3 RCT (JCOG1217) | Oral steroid administration | Triamcinolone injection | ≥1/2 Circumferential cancer | 140/141 | Stricture-free survival 94.8% vs. 88.5% (p=0.14) | Total 26 (10 patients) vs. 38 (14 patients) (p=0.38) |
Chu et al. (2019)41 | Single-center retrospective study | Triamcinolone injection with oral steroid administration | Without any prophylactic therapy | ≥2/3 Circumferential mucosal defect | 34/36 | 14.7% vs. 52.8% (p=0.001) | Mean 0.2 vs. 3.3 (p<0.001) |
Sakaguchi et al. (2020)42 | Single-center retrospective study | a) PGA sheet with steroid injection | Without any prophylactic therapy | ≥1/2 Circumferential cancer | 37/29/29 | 18.9% vs. 41.4% vs. 51.7% (p=0.015) | Mean 2.2 vs. 2.6 vs. 5.0 (p=0.066) |
b) PGA sheet only | |||||||
Ohki et al. (2012)43, (2015)44 | Open-label, single-arm | Autologous cell sheet | NA | ≥1/2 Circumferential mucosal defect | 9 | 11.1% | 21 |
Wen et al. (2014)37 | RCT | SEMS | Without any prophylactic therapy | ≥3/4 Circumferential mucosal defect | 11/11 | 18.2% vs. 72.7% (p=0.03) | Mean 0.45 vs. 3.9 (p=0.036) |
EBD, endoscopic balloon dilation; RCT, randomized control trial; PGA, polyglycolic acid; NA, not applicable; SEMS, self-expanding metallic stent.