Early stenosis and dehiscence of surgical esophago-jejunal anastomosis treated with different endoscopic techniques

Abstract

Benign esophageal stenosis is a common pathology in daily clinical practice. Most cases are simple and are successfully treated with endoscopic dilation (ED) using bougies or balloons. In recurrent or refractory stenosis cases, other endoscopic options should be considered, with incisional therapy (IT) being deemed an effective and safe alternative.

We report a case of a patient with chronic gastritis, extensive multifocal intestinal metaplasia, and high-grade dysplasia in the antrum and body without visible lesions. The patient underwent total gastrectomy with Roux-en-Y reconstruction and subsequently developed early stenosis of the anastomosis, necessitating dilation with bougies, stent placement, and incisional therapy.

Keywords: anastomotic stenosis, dilation, incisional therapy.