Table 2. Review of prophylactic therapy.
First author and reference | Design | Method | Intervention | N | Circumference of mucosal defect, % | Entire-circumference, n (%) | Follow-up period | Stricture rate, % | Sessions of EBD required |
Yamaguchi 7 | Retrospective | Oral steroid administration | Oral prednisolone | 19 | ≥ 75.0 | 3 (15.8) | NA | 5.3 | 1.7 (0 – 7)1 |
Isomoto 10 | Retrospective | Oral prednisolone | 4 | 100.0 | 4 (100) | 11 (5 – 22) months | 50.0 | 3.3 (0 – 11)1 | |
Sato 9 | Retrospective | Oral prednisolone | 13 | 100.0 | 13 (100) | 9 weeks | 100.0 | 13.8 ± 6.92 | |
Miwata 11 | Retrospective | Oral prednisolone | 13 | 100.0 | 13 (100) | NA | 100.0 | > 5, 67 %3 | |
Hanaoka 4 | Prospective historical | Steroid injection | Triamcinolone injection | 30 | ≥ 75.0 | 0 (0) | 2 months | 10.0 | 0 (0 – 2)4 |
Nagami 5 | Retrospective case controlled | Steroid injection | 28 | 73.7 ± 13.9 | 0 (0) | 2 months | 10.7 | NA | |
Takahashi 6 | RCT | Triamcinolone injection | 16 | ≥ 75.0 | 5 (31.3) | 16.1 ± 5.6 months | 62.5 | 6.1 ± 6.22 | |
Hanaoka 14 | Retrospective | Triamcinolone injection | 12 | 100.0 | 12 (100) | NA | 91.7 | 13 (0 – 40)4 | |
Miwata 11 | Retrospective | Prednisolone injection | 6 | 100.0 | 6 (100) | NA | 100.0 | > 5, 33 %3 | |
Sakaguchi 13 | Prospective one arm | PGA sheet with fibrin glue | PGA sheet with fibrin glue | 8 | ≥ 75.0 | NA | NA | 37.5 | 0.8 ± 1.22 |
Sakaguchi 15 | Prospective one arm | Hybrid therapy | Hybrid therapy | 11 | ≥ 75.0 | 2 (18.2) | 12 weeks | 18.2 | 0 (0 – 29)4 |
Present study – all patients | Retrospective one arm | Hybrid therapy | 10 | ≥ 83.3 | 6 (60.0) | 2 months or until scarring confirmed | 50 | 0.5 (0 – 16)4 | |
Present study – subanalysis | Retrospective one arm | Hybrid therapy | 8 | ≥ 83.3 | 5 (71.4) | 2 months or until scarring confirmed | 37.5 | 0 (0 – 4)4 |
EBD, endoscopic balloon dilatation; NA, not available; RCT, randomized controlled trial; PGA, polyglycolic acid.
Data expressed as mean (range).
Mean ± standard deviation.
Percentage of patients requiring EBD > 5 times.
Median (range).