Esophageal stricture history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(7 intermediate revisions by 3 users not shown)
Line 5: Line 5:
==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><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>
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   
*[[Regurgitation]] of food   
*[[Anemia]]  
*[[Anemia]]  
*[[Anorexia]]  
*[[Anorexia]]  
*Gastrointestinal bleeding  
*[[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]] <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>
*[[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>
**Grades of dysphagia
** [[Benign]] and [[malignant]] stricture<nowiki/>s can be differentiated based on duration of [[dysphagia]]
** Long-standing, intermittent, nonprogressive [[dysphagia]] in [[benign]] [[stricture]]<nowiki/>s
** [[Weight loss|Weight los]]<nowiki/>s, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] [[stricture]]
**Grades of [[dysphagia]]
{| class="wikitable"
{| class="wikitable"
|'''Grade'''
|'''Grade'''
Line 37: Line 40:
|-
|-
|II
|II
|Dysphagia to solids
|[[Dysphagia]] to solids
|-
|-
|III
|III
|Dysphagia to semi-solids
|[[Dysphagia]] to semi-solids
|-
|-
|IV
|IV
|Dysphagia even to liquids
|[[Dysphagia]] to [[liquid]]<nowiki/>s
|-
|-
|IV
|IV
|Absolute dysphagia
|Complete dysphagia
|}
|}
** The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures.
** Long-standing, intermittent, nonprogressive dysphagia in [[benign]] strictures
** Weight loss, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] stricture


* [[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}}
Line 73: Line 73:
{{WH}}
{{WH}}
{{WS}}
{{WS}}
[[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

Esophageal stricture Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Esophageal stricture from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Procedure
Surgical Management

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Esophageal stricture history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Esophageal stricture history and symptoms

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Esophageal stricture history and symptoms

CDC on Esophageal stricture history and symptoms

Esophageal stricture history and symptoms in the news

Blogs on Esophageal stricture history and symptoms

Directions to Hospitals Treating Esophageal stricture

Risk calculators and risk factors for Esophageal stricture history and symptoms

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.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Esophageal_stricture_history_and_symptoms&oldid=1638026"