Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report

Abstract Severe esophageal strictures resulting from chemoradiotherapy pose persistent therapeutic challenges despite the availability of treatments such as endoscopic balloon dilation and medications. Hyperbaric oxygen therapy (HBOT) has emerged as a promising treatment option for refractory radiat...

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Main Authors: Tetsuyuki Tateda, Hidezumi Kikuchi, Keisuke Furusawa, Yusuke Matsuoka, Taka Asari, Yohei Sawada, Satoru Nakagawa, Tatsuta Tetsuya, Daisuke Chinda, Hirotake Sakuraba
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Language:English
Published: Wiley 2025-04-01
Series:DEN Open
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Online Access:https://doi.org/10.1002/deo2.70072
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author Tetsuyuki Tateda
Hidezumi Kikuchi
Keisuke Furusawa
Yusuke Matsuoka
Taka Asari
Yohei Sawada
Satoru Nakagawa
Tatsuta Tetsuya
Daisuke Chinda
Hirotake Sakuraba
author_facet Tetsuyuki Tateda
Hidezumi Kikuchi
Keisuke Furusawa
Yusuke Matsuoka
Taka Asari
Yohei Sawada
Satoru Nakagawa
Tatsuta Tetsuya
Daisuke Chinda
Hirotake Sakuraba
author_sort Tetsuyuki Tateda
collection DOAJ
description Abstract Severe esophageal strictures resulting from chemoradiotherapy pose persistent therapeutic challenges despite the availability of treatments such as endoscopic balloon dilation and medications. Hyperbaric oxygen therapy (HBOT) has emerged as a promising treatment option for refractory radiation‐induced injury to several organs. Herein, we present the case of a 79‐year‐old male patient with refractory radiation‐induced ulcerative esophageal strictures after chemoradiotherapy. Despite multiple interventions, including endoscopic balloon dilation, steroids, and proton‐pump inhibitors, the patient remained unable to tolerate oral intake. HBOT was initiated, leading to significant improvement in the esophageal ulcers and strictures within 1 month. HBOT was well tolerated; the patient experienced a sustained improvement in his quality of life. Two years after HBOT, esophagogastroduodenoscopy confirmed persistent improvement in esophageal ulcers and strictures. This case highlights the potential of HBOT as a therapeutic option for ulcerative esophageal strictures unresponsive to conventional treatments.
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issn 2692-4609
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spelling doaj-art-f39ec6423ec849f2b626324b92a628fa2025-08-20T03:13:51ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70072Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case reportTetsuyuki Tateda0Hidezumi Kikuchi1Keisuke Furusawa2Yusuke Matsuoka3Taka Asari4Yohei Sawada5Satoru Nakagawa6Tatsuta Tetsuya7Daisuke Chinda8Hirotake Sakuraba9Department of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanDivision of Endoscopy Hirosaki University Hospital Aomori JapanDepartment of Gastroenterology, Hematology, and Clinical Immunology Hirosaki University Graduate School of Medicine Aomori JapanAbstract Severe esophageal strictures resulting from chemoradiotherapy pose persistent therapeutic challenges despite the availability of treatments such as endoscopic balloon dilation and medications. Hyperbaric oxygen therapy (HBOT) has emerged as a promising treatment option for refractory radiation‐induced injury to several organs. Herein, we present the case of a 79‐year‐old male patient with refractory radiation‐induced ulcerative esophageal strictures after chemoradiotherapy. Despite multiple interventions, including endoscopic balloon dilation, steroids, and proton‐pump inhibitors, the patient remained unable to tolerate oral intake. HBOT was initiated, leading to significant improvement in the esophageal ulcers and strictures within 1 month. HBOT was well tolerated; the patient experienced a sustained improvement in his quality of life. Two years after HBOT, esophagogastroduodenoscopy confirmed persistent improvement in esophageal ulcers and strictures. This case highlights the potential of HBOT as a therapeutic option for ulcerative esophageal strictures unresponsive to conventional treatments.https://doi.org/10.1002/deo2.70072chemoradiotherapydigestive system endoscopydilationesophageal stenosishyperbaric oxygenation
spellingShingle Tetsuyuki Tateda
Hidezumi Kikuchi
Keisuke Furusawa
Yusuke Matsuoka
Taka Asari
Yohei Sawada
Satoru Nakagawa
Tatsuta Tetsuya
Daisuke Chinda
Hirotake Sakuraba
Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
DEN Open
chemoradiotherapy
digestive system endoscopy
dilation
esophageal stenosis
hyperbaric oxygenation
title Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
title_full Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
title_fullStr Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
title_full_unstemmed Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
title_short Successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy: A case report
title_sort successful treatment with hyperbaric oxygen therapy for ulcerative esophageal stricture after chemoradiotherapy a case report
topic chemoradiotherapy
digestive system endoscopy
dilation
esophageal stenosis
hyperbaric oxygenation
url https://doi.org/10.1002/deo2.70072
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