{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:48:59Z","timestamp":1755226139712,"version":"3.43.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["JPGN rep."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Esophageal atresia (EA), with or without tracheoesophageal fistula, is the most common congenital anomaly of the esophagus. Surgical correction is the primary treatment, however, up to 80% of patients experience anastomotic stenosis, with esophageal balloon dilation (EBD) being the first\u2010line treatment. Unfortunately, some patients develop refractory anastomotic stenosis (RAS), defined by the presence of strictures after three EBD sessions. The endoscopic management of RAS remains controversial. Although EA itself is rare, the incidence of postoperative stricture is significant, contributing to high morbidity characterized by symptoms such as dysphagia, short stature, choking, drooling, among others. The first\u2010line treatment for RAS is EBD, as current literature lacks clinical trials on alternative techniques. This case report highlights the successful management of refractory anastomotic stenosis in a Colombian infant using advanced endoscopic techniques.<\/jats:p>","DOI":"10.1002\/jpr3.70029","type":"journal-article","created":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:59:15Z","timestamp":1749020355000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic remodeling of esophageal stenosis refractory to traditional endoscopic treatment"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8522-9813","authenticated-orcid":false,"given":"Mar\u00eda Camila","family":"Beltr\u00e1n\u2010Ram\u00edrez","sequence":"first","affiliation":[{"name":"School of Medicine Universidad de los Andes Bogot\u00e1 Bogota Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3028-5222","authenticated-orcid":false,"given":"Jose Fernando","family":"Vera\u2010Chamorro","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology Section Fundaci\u00f3n Santa Fe de Bogot\u00e1 Universitary Hospital PediAFe Bogota Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6655-9216","authenticated-orcid":false,"given":"Ailim Margarita","family":"Carias\u2010Dominguez","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology Section Fundaci\u00f3n Santa Fe de Bogot\u00e1 Universitary Hospital PediAFe Bogota Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.JAA.0000830180.79745.b9"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000464"},{"issue":"04","key":"e_1_2_7_4_1","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1055\/s-0039-1693116","article-title":"ERNICA consensus conference on the management of patients with esophageal atresia and tracheoesophageal fistula: diagnostics, preoperative, operative, and postoperative management","volume":"30","author":"Dingemann C","year":"2020","journal-title":"Eur J Pediatr Surg"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2015.09.002"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000801"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001401"},{"issue":"1","key":"e_1_2_7_8_1","doi-asserted-by":"crossref","first-page":"24","DOI":"10.61155\/2023.77.1.004","article-title":"Estricturotom\u00eda como alternativa terap\u00e9utica en ni\u00f1os con estenosis esof\u00e1gica refractaria","volume":"77","author":"Marcano A","year":"2023","journal-title":"Revista GEN"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","DOI":"10.3389\/fped.2022.814901","article-title":"Endoscopic treatment for pediatric esophageal stenosis induced by chemical burn, congenitally, or after surgical repair of esophageal atresia","volume":"10","author":"Zhou B","year":"2022","journal-title":"Front Pediatr"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002008"},{"issue":"2","key":"e_1_2_7_11_1","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1007\/s00455-022-10495-5","article-title":"Endoscopic stricturotomy in the treatment of refractory esophageal anastomotic strictures","volume":"38","author":"Ma X","year":"2022","journal-title":"Dysphagia"}],"container-title":["JPGN Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpr3.70029","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T06:59:17Z","timestamp":1749020357000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jpr3.70029"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":10,"alternative-id":["10.1002\/jpr3.70029"],"URL":"https:\/\/doi.org\/10.1002\/jpr3.70029","archive":["Portico"],"relation":{},"ISSN":["2691-171X","2691-171X"],"issn-type":[{"type":"print","value":"2691-171X"},{"type":"electronic","value":"2691-171X"}],"subject":[],"published":{"date-parts":[[2025,6,3]]},"assertion":[{"value":"2024-11-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jpr3.70029"}}