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Revision as of 15:15, 20 November 2017

Esophageal stricture Microchapters

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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][7]

Common Symptoms

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

  • Dysphagia [11]
    • Benign and malignant strictures can be differentiated based on duration of dysphagia
    • Long-standing, intermittent, nonprogressive dysphagia in benign strictures
    • Weight loss, rapidly progressive dysphagia in malignant stricture
    • Grades of dysphagia
Grade Manifestations
I Able to eat everything but with difficulty
II Dysphagia to solids
III Dysphagia to semi-solids
IV Dysphagia to liquids
IV Absolute 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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