Esophageal stricture procedure: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Esophageal stricture}} | {{Esophageal stricture}} | ||
{{CMG}};{{AE}}{{MA}} | {{CMG}};{{AE}}{{MA}} [mailto:malihash@bidmc.harvard.edu] | ||
==Overview== | ==Overview== | ||
==Esophageal stricture procedure== | ==Esophageal stricture procedure== | ||
The most common cause of esophageal stricture is [[gastroesophageal reflux disease]]. Treatment for esophageal stricture is combination of dilation and [[Proton pump inhibitor|proton pump inhibitors]] or H2 antagonist therapy.<ref name="pmid79264952">{{cite journal |vauthors=Smith PM, Kerr GD, Cockel R, Ross BA, Bate CM, Brown P, Dronfield MW, Green JR, Hislop WS, Theodossi A |title=A comparison of omeprazole and ranitidine in the prevention of recurrence of benign esophageal stricture. Restore Investigator Group |journal=Gastroenterology |volume=107 |issue=5 |pages=1312–8 |year=1994 |pmid=7926495 |doi= |url=}}</ref> | |||
*The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. <ref name="pmid15625037">{{cite journal |vauthors=Nostrant TT |title=Esophageal Dilation / Dilators |journal=Curr Treat Options Gastroenterol |volume=8 |issue=1 |pages=85–95 |year=2005 |pmid=15625037 |doi= |url=}}</ref> | |||
**[[Caustic (substance)|Caustic]] strictures | |||
**[[Radiation]] stricture | |||
**Eosinophilic esophagitis due to increased risk of perforation | |||
**[[Bleeding disorders]] | |||
**Severe [[cardiovascular]] disease or [[pulmonary]] disease | |||
Interventions for treatment of esophageal strictures include: | |||
*Dilators | |||
*Stents | |||
*Brachytherapy | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Revision as of 13:46, 8 November 2017
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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] [3]
Overview
Esophageal stricture procedure
The most common cause of esophageal stricture is gastroesophageal reflux disease. Treatment for esophageal stricture is combination of dilation and proton pump inhibitors or H2 antagonist therapy.[1]
- The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. [2]
- Caustic strictures
- Radiation stricture
- Eosinophilic esophagitis due to increased risk of perforation
- Bleeding disorders
- Severe cardiovascular disease or pulmonary disease
Interventions for treatment of esophageal strictures include:
- Dilators
- Stents
- Brachytherapy
References
- ↑ Smith PM, Kerr GD, Cockel R, Ross BA, Bate CM, Brown P, Dronfield MW, Green JR, Hislop WS, Theodossi A (1994). "A comparison of omeprazole and ranitidine in the prevention of recurrence of benign esophageal stricture. Restore Investigator Group". Gastroenterology. 107 (5): 1312–8. PMID 7926495.
- ↑ Nostrant TT (2005). "Esophageal Dilation / Dilators". Curr Treat Options Gastroenterol. 8 (1): 85–95. PMID 15625037.