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. 2023 Jun 21;56(4):409–422. doi: 10.5946/ce.2023.024

Table 1.

Reports about esophageal stricture preventive methods

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.