The Impact of Endoscopic Dilatation in Post-Esophagectomy Anastomotic Stricture: Risk Factors and Treatment Outcomes

Endoscopic dilatation is highly effective for managing recurrent post-esophagectomy strictures. However, refractory strictures represent a more aggressive phenotype, characterized by earlier onset, a poor response to initial therapy, and a greater procedural burden. Early identification through procedural indicators, combined with tailored interventional strategies including early stent placement and adjunctive therapies is essential for improving outcomes in this challenging patient subgroup.