{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T18:52:26Z","timestamp":1775328746793,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pharyngoesophageal stricture (PES) is an Achilles\u2019 heel in the management of corrosive injury. Advances in endoscopic techniques were utilized in its management. We classified the stricture as per its dilatability and then planned their treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PES was sub\u2010categorized based on endoscopic dilatation and availability of cervical oesophagus: group\u20101 stricture with available cervical oesophagus; group\u20102 stricture with some part of upper oesophagus made available after endoscopic dilatation and anastomosis in cervico\u2010pharyngeal area; group\u20103 stricture not amenable for dilatation, anastomosis done at the pharynx. Endoscopic dilatation was performed using through\u2010the\u2010scope pyloric balloon. Number and duration of dilatation sessions before surgery, incidence of tracheostomy, time and incidence for re\u2010stricture and present status of swallowing were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 226 patients managed, 46 underwent oesophageal replacement for PES. Group 1, 2 and 3 had 12, 14 and 20 patients, respectively. An average 3 (2\u20134) preoperative balloon dilatation sessions were performed over 6\u20138 weeks. Tracheostomy was required in 1, 0, 8 patients (<jats:italic>p<\/jats:italic> = 0.010), and median hospital stay was 10, 9 and 13\u00a0days (<jats:italic>p<\/jats:italic> = 0.09) in group 1, 2, 3, respectively. Re\u2010stricture developed in 4\/12, 4\/14, 9\/20 patients with average sessions of dilatation required in post\u2010operative period was 4, 3.5 and 8\u00a0in group 1, 2, 3, respectively. &gt;90% of patients are taking normal diet in each group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We attempted to avoid the high anastomosis by dilating the PES and step down the level of anastomosis in two\u2010third patients. We thereby avoided tracheostomy, aspiration and swallowing problems related to high strictures.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-3966-y","type":"journal-article","created":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T19:31:02Z","timestamp":1488828662000},"page":"2053-2061","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Step\u2010Down Approach for Pharyngoesophageal Corrosive Stricture: Outcome and Analysis"],"prefix":"10.1002","volume":"41","author":[{"given":"Sundeep Singh","family":"Saluja","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery Govind Ballabh Pant Institute of Post Graduate Medical Education and Research 1, Jawahar Lal Nehru Marg 110002 New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaibhav Kumar","family":"Varshney","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery 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