Commentary on: The definition of an oesophageal stricture

jpedsurg.org

Of the surgical complications of oesophageal atresia (OA) repair, anastomotic leak and stricture are the most frequently discussed; a systematic review found that each was reported in approximately 70 % of publications describing outcomes or complications of OA [1]. Interestingly, a Delphi process involving multiple stakeholder groups to select quality indicators for OA did not include stricture as a quality indicator per se, instead including the number of dilatations and re-operations on the oesophagus (“e.g.

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Article · Jul 2025 · 1 min read

In brief

This commentary examines the clinical definition and significance of esophageal strictures following oesophageal atresia repair, a common postoperative complication reported in approximately 70% of publications. The piece discusses quality indicators for OA outcomes, focusing on dilatation frequency and re-operations rather than stricture presence alone.

Anastomotic leak and stricture are the most common complications after oesophageal atresia repair, each reported in ~70% of publications.
Stricture itself was not selected as a quality indicator for OA outcomes in a multi-stakeholder Delphi process.
Number of dilatations and re-operations on the oesophagus were chosen as quality indicators instead of stricture presence alone.

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