Endoscopic Treatment of Luminal Anastomotic Strictures

Benign anastomotic strictures following gastrointestinal surgery are a common problem seen in a gastroenterology practice. They can be associated with significant morbidity, including malnutrition, weight loss, obstructive symptoms, and aspiration. Although traditionally often requiring surgical correction, the advent of therapeutic endoscopy has allowed for the safe and definitive management of most of these strictures. This review will discuss the endoscopic options for management of anastomotic strictures most commonly encountered in the esophagus, stomach, small bowel, and colon.