Endoscopic Management of Benign Recalcitrant Esophageal Strictures

Overview

Journal Ann Gastroenterol

Specialty Gastroenterology

Date 2021 May 5

PMID 33948052

Citations 8

Authors

Umesha Boregowda

Hemant Goyal

Rupinder Mann

Mahesh Gajendran

Sandeep Patel

Juan Echavarria

Hari Sayana

Shreyas Saligram

Affiliations

Soon will be listed here.

Abstract

Benign esophageal strictures are one of the common clinical conditions managed by endoscopists. Nearly 90% of the benign esophageal strictures respond to endoscopic dilation. However, a small percentage of patients progress to recalcitrant strictures. The benign recalcitrant esophageal strictures are difficult to manage both medically and endoscopically as they do not respond to conventional treatment with proton pump inhibitors and esophageal dilations. Patients with benign recalcitrant esophageal strictures are at a high risk of developing debilitating malnutrition and morbidity due to severe dysphagia. This condition is associated with psychological trauma to patients as treatments are usually prolonged with poor outcomes. Also, this can be a financial burden on the healthcare industry due to several sessions of treatment. In this article, we discuss the classification of benign esophageal strictures, evidence-based treatment strategies, endoscopic procedural techniques, and complications of endoscopic interventions. We aim to guide providers in managing benign esophageal strictures with a focus on endoscopic management of benign recalcitrant esophageal strictures.

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