Esophageal stricture history and symptoms: Difference between revisions

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==Overview==
==Overview==


The hallmark of esophageal stricture is [[dysphagia]] . A positive history of [[heartburn]] is suggestive of esophageal stricture. The most common symptoms of esophageal stricture include [[dysphagia]], [[odynophagia]], and [[heartburn]]. Less common symptoms of esophageal stricture include chronic [[cough]] and [[wheezing]].
The hallmark of esophageal stricture is [[dysphagia]]. A positive history of [[heartburn]] is suggestive of esophageal stricture. The most common symptoms of esophageal stricture include [[dysphagia]], [[odynophagia]], and [[heartburn]]. Less common symptoms of esophageal stricture include [[Chronic (medical)|chronic]] [[cough]] and [[wheezing]].


==History and Symptoms==
==History and Symptoms==
The hallmark of esophageal stricture is dysphagia. Various history findings and symptoms associated with esophageal stricture are discussed bellow.
The [[hallmark]] of esophageal stricture is [[dysphagia]]. Various history findings and [[symptom]]<nowiki/>s associated with esophageal stricture are discussed below.
===History===
===History===
Patients with esophageal stricture due to different causes may have a positive history of:<ref name="pmid1483661">{{cite journal |vauthors=Csendes A, Braghetto I |title=Surgical management of esophageal strictures |journal=Hepatogastroenterology |volume=39 |issue=6 |pages=502–10 |year=1992 |pmid=1483661 |doi= |url=}}</ref><ref name="pmid8338082">{{cite journal |vauthors=Marks RD, Richter JE |title=Peptic strictures of the esophagus |journal=Am. J. Gastroenterol. |volume=88 |issue=8 |pages=1160–73 |year=1993 |pmid=8338082 |doi= |url=}}</ref><ref name="pmid4020540">{{cite journal |vauthors=Wasserman RL, Ginsburg CM |title=Caustic substance injuries |journal=J. Pediatr. |volume=107 |issue=2 |pages=169–74 |year=1985 |pmid=4020540 |doi= |url=}}</ref><ref name="pmid7713784">{{cite journal |vauthors=Coia LR, Myerson RJ, Tepper JE |title=Late effects of radiation therapy on the gastrointestinal tract |journal=Int. J. Radiat. Oncol. Biol. Phys. |volume=31 |issue=5 |pages=1213–36 |year=1995 |pmid=7713784 |doi=10.1016/0360-3016(94)00419-L |url=}}</ref><ref name="pmid16550258">{{cite journal| author=Khanna N| title=How do I dilate a benign esophageal stricture? | journal=Can J Gastroenterol | year= 2006 | volume= 20 | issue= 3 | pages= 153-5 | pmid=16550258 | doi= | pmc=2582967 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16550258  }}</ref><ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref>
Patients with esophageal stricture due to different causes may have a positive history of:<ref name="pmid1483661">{{cite journal |vauthors=Csendes A, Braghetto I |title=Surgical management of esophageal strictures |journal=Hepatogastroenterology |volume=39 |issue=6 |pages=502–10 |year=1992 |pmid=1483661 |doi= |url=}}</ref><ref name="pmid8338082">{{cite journal |vauthors=Marks RD, Richter JE |title=Peptic strictures of the esophagus |journal=Am. J. Gastroenterol. |volume=88 |issue=8 |pages=1160–73 |year=1993 |pmid=8338082 |doi= |url=}}</ref><ref name="pmid4020540">{{cite journal |vauthors=Wasserman RL, Ginsburg CM |title=Caustic substance injuries |journal=J. Pediatr. |volume=107 |issue=2 |pages=169–74 |year=1985 |pmid=4020540 |doi= |url=}}</ref><ref name="pmid7713784">{{cite journal |vauthors=Coia LR, Myerson RJ, Tepper JE |title=Late effects of radiation therapy on the gastrointestinal tract |journal=Int. J. Radiat. Oncol. Biol. Phys. |volume=31 |issue=5 |pages=1213–36 |year=1995 |pmid=7713784 |doi=10.1016/0360-3016(94)00419-L |url=}}</ref><ref name="pmid16550258">{{cite journal| author=Khanna N| title=How do I dilate a benign esophageal stricture? | journal=Can J Gastroenterol | year= 2006 | volume= 20 | issue= 3 | pages= 153-5 | pmid=16550258 | doi= | pmc=2582967 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16550258  }}</ref><ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref><ref name="RuigómezAlberto García Rodríguez2006">{{cite journal|last1=Ruigómez|first1=Ana|last2=Alberto García Rodríguez|first2=Luis|last3=Wallander|first3=Mari-Ann|last4=Johansson|first4=Saga|last5=Eklund|first5=Stefan|title=Esophageal Stricture: Incidence, Treatment Patterns, and Recurrence Rate|journal=The American Journal of Gastroenterology|volume=101|issue=12|year=2006|pages=2685–2692|issn=0002-9270|doi=10.1111/j.1572-0241.2006.00828.x}}</ref>
*Difficulty in swallowing  
*Difficulty in [[swallowing]]
*Pain in swallowing  
*Pain in [[swallowing]]
*[[Heartburn]]   
*[[Heartburn]]   
*Caustic ingestion  
*[[Caustic]] ingestion  
*[[Radiation therapy|Radiation]] therapy  
*[[Radiation therapy|Radiation]] therapy  
*Esophageal cancer
*[[Esophageal cancer]]
*[[Allergy]] history in [[eosinophilic esophagitis]]  
*[[Allergy]] history in [[eosinophilic esophagitis]]  
*Bullous skin eruptions in [[epidermolysis bullosa dystrophica]]   
*[[Bullous]] skin [[eruption]]<nowiki/>s in [[epidermolysis bullosa dystrophica]]   
*Hoarse voice  
*[[Hoarse]] voice  
*Hematemesis  
*[[Hematemesis]]
*[[Regurgitation]] of food 
*[[Anemia]]  
*[[Anemia]]  
*[[Anorexia]]  
*[[Anorexia]]  
*[[Gastrointestinal bleeding]]
===Common Symptoms===
===Common Symptoms===
Common symptoms of esophageal stricture include:<ref name="pmid26828759">{{cite journal |vauthors=Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML |title=Natural history and management of refractory benign esophageal strictures |journal=Gastrointest. Endosc. |volume=84 |issue=2 |pages=222–8 |year=2016 |pmid=26828759 |doi=10.1016/j.gie.2016.01.053 |url=}}</ref><ref name="pmid18250638">{{cite journal |vauthors=Siersema PD |title=Treatment options for esophageal strictures |journal=Nat Clin Pract Gastroenterol Hepatol |volume=5 |issue=3 |pages=142–52 |year=2008 |pmid=18250638 |doi=10.1038/ncpgasthep1053 |url=}}</ref><ref name="pmid128536642">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref>
Common symptoms of esophageal stricture include:<ref name="pmid26828759">{{cite journal |vauthors=Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML |title=Natural history and management of refractory benign esophageal strictures |journal=Gastrointest. Endosc. |volume=84 |issue=2 |pages=222–8 |year=2016 |pmid=26828759 |doi=10.1016/j.gie.2016.01.053 |url=}}</ref><ref name="pmid18250638">{{cite journal |vauthors=Siersema PD |title=Treatment options for esophageal strictures |journal=Nat Clin Pract Gastroenterol Hepatol |volume=5 |issue=3 |pages=142–52 |year=2008 |pmid=18250638 |doi=10.1038/ncpgasthep1053 |url=}}</ref><ref name="pmid128536642">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref>
*[[Dysphagia]] to solid and then liquid
*[[Dysphagia]] <ref name="pmid7032643">{{cite journal |vauthors=Earlam R, Cunha-Melo JR |title=Benign oesophageal strictures: historical and technical aspects of dilatation |journal=Br J Surg |volume=68 |issue=12 |pages=829–36 |year=1981 |pmid=7032643 |doi= |url=}}</ref>
**The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures.
** [[Benign]] and [[malignant]] stricture<nowiki/>s can be differentiated based on duration of [[dysphagia]]
***Long-standing, intermittent, nonprogressive dysphagia in [[benign]] strictures
** Long-standing, intermittent, nonprogressive [[dysphagia]] in [[benign]] [[stricture]]<nowiki/>s
***Weight loss, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] stricture
** [[Weight loss|Weight los]]<nowiki/>s, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] [[stricture]]
**Grades of [[dysphagia]]
{| class="wikitable"
|'''Grade'''
|'''Manifestations'''
|-
|I
|Able to eat everything but with difficulty
|-
|II
|[[Dysphagia]] to solids
|-
|III
|[[Dysphagia]] to semi-solids
|-
|IV
|[[Dysphagia]] to [[liquid]]<nowiki/>s
|-
|IV
|Complete dysphagia
|}


* [[Odynophagia]]                 
* [[Odynophagia]]                 
*[[Weight loss]]
*[[Weight loss]]
*[[Cough]] while swallowing
*[[Cough]] while [[swallowing]]
*[[Heartburn]]
*[[Heartburn]]
*Stomach or chest pain
*[[Stomach]] or [[chest pain]]
*Acid taste in the mouth
*Acid taste in the mouth
*Drooling
*[[Drooling]]
*Trouble speaking
*Trouble speaking


===Less Common Symptoms===
===Less Common Symptoms===
Less common symptoms of esophageal stricture can be related to aspiration pneumonia and include<ref name="pmid26828759" />  
Less common symptoms of esophageal stricture can be related to [[aspiration pneumonia]] and include<ref name="pmid26828759" />  
*Chronic [[cough]]
*Chronic [[cough]]
*[[Wheezing]]
*[[Wheezing]]
*Shortness of breath
*[[Shortness of breath]]
*[[Asthma]] due to aspiration of acids
*[[Asthma]] due to aspiration of acids
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
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[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Medicine]]
[[Category:Medicine]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date]]
[[Category:Primary care]]

Latest revision as of 21:41, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

The hallmark of esophageal stricture is dysphagia. A positive history of heartburn is suggestive of esophageal stricture. The most common symptoms of esophageal stricture include dysphagia, odynophagia, and heartburn. Less common symptoms of esophageal stricture include chronic cough and wheezing.

History and Symptoms

The hallmark of esophageal stricture is dysphagia. Various history findings and symptoms associated with esophageal stricture are discussed below.

History

Patients with esophageal stricture due to different causes may have a positive history of:[1][2][3][4][5][6][7]

Common Symptoms

Common symptoms of esophageal stricture include:[8][9][10]

Grade Manifestations
I Able to eat everything but with difficulty
II Dysphagia to solids
III Dysphagia to semi-solids
IV Dysphagia to liquids
IV Complete dysphagia

Less Common Symptoms

Less common symptoms of esophageal stricture can be related to aspiration pneumonia and include[8]

References

  1. ↑ Csendes A, Braghetto I (1992). "Surgical management of esophageal strictures". Hepatogastroenterology. 39 (6): 502–10. PMID 1483661.
  2. ↑ Marks RD, Richter JE (1993). "Peptic strictures of the esophagus". Am. J. Gastroenterol. 88 (8): 1160–73. PMID 8338082.
  3. ↑ Wasserman RL, Ginsburg CM (1985). "Caustic substance injuries". J. Pediatr. 107 (2): 169–74. PMID 4020540.
  4. ↑ Coia LR, Myerson RJ, Tepper JE (1995). "Late effects of radiation therapy on the gastrointestinal tract". Int. J. Radiat. Oncol. Biol. Phys. 31 (5): 1213–36. doi:10.1016/0360-3016(94)00419-L. PMID 7713784.
  5. ↑ Khanna N (2006). "How do I dilate a benign esophageal stricture?". Can J Gastroenterol. 20 (3): 153–5. PMC 2582967. PMID 16550258.
  6. ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
  7. ↑ Ruigómez, Ana; Alberto García Rodríguez, Luis; Wallander, Mari-Ann; Johansson, Saga; Eklund, Stefan (2006). "Esophageal Stricture: Incidence, Treatment Patterns, and Recurrence Rate". The American Journal of Gastroenterology. 101 (12): 2685–2692. doi:10.1111/j.1572-0241.2006.00828.x. ISSN 0002-9270.
  8. ↑ 8.0 8.1 Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML (2016). "Natural history and management of refractory benign esophageal strictures". Gastrointest. Endosc. 84 (2): 222–8. doi:10.1016/j.gie.2016.01.053. PMID 26828759.
  9. ↑ Siersema PD (2008). "Treatment options for esophageal strictures". Nat Clin Pract Gastroenterol Hepatol. 5 (3): 142–52. doi:10.1038/ncpgasthep1053. PMID 18250638.
  10. ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
  11. ↑ Earlam R, Cunha-Melo JR (1981). "Benign oesophageal strictures: historical and technical aspects of dilatation". Br J Surg. 68 (12): 829–36. PMID 7032643.

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