Which technique is better and then, or maybe which technique shouldn't you do? And then who is your ideal candidate for endoscopic management of a stricture?

I think that's a perfect question.

I think we can summarize it as follows.

So whenever I get a patient with stricture, we look at the length of the stricture, how severe is the pre-steroid dilation of the stricture, and are there any fistulas or abscesses in the visceral stricture.

So if your stricture is longer than four to five centimeters, they are less likely to respond to endotherapy.

If they are less than five centimeters, then you can choose balloon dilation, stricture-otomy, even some rare cases stenting, although we will talk more about stenting in a second.

But modalities two main are balloon dilation and stricture-otomy.

So what are the best tips for the endoscopist out there if you're going to do balloon dilation? Give them like several tips for best practices.