Publication Name	World Journal of Gastrointestinal Endoscopy
Manuscript ID	104238
Country	Italy

Category	Medicine, Research & Experimental
Manuscript Type	Retrospective Study
Article Title	Innovative endoscopic alternatives for the conservative management of recurrent/refractory esophageal strictures in children: A case series
Manuscript Source	Unsolicited Manuscript
All Author List	Chiara Imondi, Maria Elisabetta Bartoli, Filippo Torroni, Simona Faraci, Tamara Caldaro, Paola De Angelis and Valerio Balassone
Funding Agency and Grant Number
Corresponding Author	Valerio Balassone, MD, PhD, Department of Gastroenterology and Nutrition Unit, Bambino Gesù Children’s Hospital IRCCS, Piazza Sant’Onofrio 4, Rome 00165, Lazio, Italy. valerio.balassone@opbg.net
Key Words	Refractory esophageal strictures; Recurrent esophageal strictures; Mini-invasive treatment; Adjuvant therapies; Pediatric case series
Core Tip	The management of refractory and recurrent esophageal strictures is particularly challenging in pediatric age. Reiterative endoscopic dilations and replacement surgery are the standard treatment but burdened by high procedural risks and non-negligible economic and social costs. Several adjuvant strategies have proven inadequate as real alternatives to surgery. Here we report our experience with the most innovative adjuvant techniques for the treatment of recurrent esophageal strictures, focusing on their medium-term efficacy and safety, with the aim of avoiding or, at least, postponing invasive replacement surgery, until patients’ greater clinical stability and better nutritional status is achieved.
Citation	Imondi C, Bartoli ME, Torroni F, Faraci S, Caldaro T, De Angelis P, Balassone V. Innovative endoscopic alternatives for the conservative management of recurrent/refractory esophageal strictures in children: A case series. World J Gastrointest Endosc 2025; In press

Received	2024-12-25 05:04
Peer-Review Started	2024-12-25 05:04
To Make the First Decision
Return for Revision	2025-03-13 16:17
Revised	2025-03-26 23:41
Second Decision	2025-07-01 02:47
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-07-02 03:24
Articles in Press	2025-07-02 03:24
Publication Fee Transferred	2025-04-30 09:12
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5190 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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