Table 8

Endoscopic management of oesophageal strictures117

Nature of strictureAdvice
  • Should be performed only by experienced endoscopists

  • If tumour is present, endoscopic intervention should only occur after MDT discussion

  • Dilate to a maximum diameter of 15–20 mm

  • Dilate for 20–60 s if using a balloon

  • Dilation >12 mm not required for stent insertion

  • Do not exceed diameter of the stricture by >7–8 mm per session

  • Risks are increased after chemotherapy/radiotherapy/if tumour is present

  • Temporary/permanent stent placement may be required after dilation