Esophageal stricture history and symptoms: Difference between revisions
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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 symptoms associated with esophageal stricture are discussed bellow. | ||
===History=== | ===History=== | ||
Patients with esophageal stricture | 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> | ||
*Difficulty in swallowing | *Difficulty in swallowing | ||
*Pain in swallowing | *Pain in swallowing | ||
| Line 20: | Line 20: | ||
*Bullous skin eruptions in [[epidermolysis bullosa dystrophica]] | *Bullous skin eruptions in [[epidermolysis bullosa dystrophica]] | ||
===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> | 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]] to solid and then liquid | ||
**The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures. | **The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures. | ||
***Long-standing, intermittent, nonprogressive dysphagia in benign strictures | ***Long-standing, intermittent, nonprogressive dysphagia in [[benign]] strictures | ||
***Rapidly progressive | ***Rapidly progressive [[Dysphagia|dysphagi]]<nowiki/>a and [[weight loss]] in [[malignant]] stricture | ||
* [[Odynophagia]] | * [[Odynophagia]] | ||
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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 bellow.
History
Patients with esophageal stricture due to different causes may have a positive history of:[1][2][3][4][5][6]
- Difficulty in swallowing
- Pain in swallowing
- Heartburn
- Caustic ingestion
- Radiation therapy
- Esophageal cancer
- Allergy history in eosinophilic esophagitis
- Bullous skin eruptions in epidermolysis bullosa dystrophica
Common Symptoms
Common symptoms of esophageal stricture include:[7][8][9]
- Dysphagia to solid and then liquid
- The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures.
- Long-standing, intermittent, nonprogressive dysphagia in benign strictures
- Rapidly progressive dysphagia and weight loss in malignant stricture
- The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures.
- Odynophagia
- Weight loss
- Cough, especially at night
- Heartburn
- Chest pain
- Acid taste in the mouth
Less Common Symptoms
Less common symptoms of esophageal stricture can be related to aspiration pneumonia and include[7]
References
- ↑ Csendes A, Braghetto I (1992). "Surgical management of esophageal strictures". Hepatogastroenterology. 39 (6): 502–10. PMID 1483661.
- ↑ Marks RD, Richter JE (1993). "Peptic strictures of the esophagus". Am. J. Gastroenterol. 88 (8): 1160–73. PMID 8338082.
- ↑ Wasserman RL, Ginsburg CM (1985). "Caustic substance injuries". J. Pediatr. 107 (2): 169–74. PMID 4020540.
- ↑ 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.
- ↑ Khanna N (2006). "How do I dilate a benign esophageal stricture?". Can J Gastroenterol. 20 (3): 153–5. PMC 2582967. PMID 16550258.
- ↑ 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.
- ↑ 7.0 7.1 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.
- ↑ Siersema PD (2008). "Treatment options for esophageal strictures". Nat Clin Pract Gastroenterol Hepatol. 5 (3): 142–52. doi:10.1038/ncpgasthep1053. PMID 18250638.
- ↑ 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.