Endoscopic management of edematous gastro-jejunal anastomotic stenosis

Edematous anastomotic stenosis is a rare complication following gastrectomy. Surgical reintervention is the traditional treatment of choice; however, no standardized alternative exists. Recent reports have proposed systemic steroid therapy as a promising option. Fully covered self-expanding metal stents have also been evaluated in the management of gastrointestinal strictures and gastric outlet obstructions. We present the case of a 40-year-old male who developed edematous anastomotic stenosis following laparoscopic gastrectomy. The patient was successfully treated with a combination of systemic steroid therapy and fully covered self-expanding metal stent placement. This approach enabled early resumption of oral intake and earlier discontinuation of steroids compared to previous reports, while achieving complete resolution of the stenosis. Further studies are needed to establish the optimal steroid regimen and clarify the role of stenting in this context.