Benign Nonpeptic Esophageal Strictures: Diagnosis and Treatment

Sa1441 Role of Endoscopic Ultrasonography (EUS) in Management of Benign Esophageal Strictures

“…Endoscopic dilatation is the preferred treatment modality for patients with benign esophageal strictures, with peptic stricture patients usually requiring few sessions of dilatation in contrast to patients with other benign causes of esophageal strictures especially corrosive strictures who require multiple sessions of endoscopic dilation [1-8]. Even some patients with corrosive strictures require fewer endoscopic dilatations whereas many other patients with corrosive strictures require multiple sessions of endoscopic dilatation.…”

“…Benign esophageal strictures can be acid reflux-induced (peptic), corrosive ingestion-induced, post-surgical (anastomotic), post-radiotherapy-induced, and drug-induced [1]. Peptic strictures are the most common cause of benign esophageal strictures in the West whereas corrosive strictures are the most common form of benign strictures in developing countries like India [2-4].…”

“…Peptic strictures are the most common cause of benign esophageal strictures in the West whereas corrosive strictures are the most common form of benign strictures in developing countries like India [2-4]. Because of its low morbidity, minimal invasiveness and good short- as well as long-term results, endoscopic dilatation with either a bougie or a balloon has been the standard of care for most patients with benign esophageal strictures [1-6]. Patients with peptic strictures usually require a few sessions of dilatation with the majority of patients responding to a single session of dilatation along with acid suppressive medicines, whereas patients with other benign causes of esophageal strictures, especially corrosive strictures, require repeated sessions of endoscopic dilation and may also recur [1-8].…”

“…Because of its low morbidity, minimal invasiveness and good short- as well as long-term results, endoscopic dilatation with either a bougie or a balloon has been the standard of care for most patients with benign esophageal strictures [1-6]. Patients with peptic strictures usually require a few sessions of dilatation with the majority of patients responding to a single session of dilatation along with acid suppressive medicines, whereas patients with other benign causes of esophageal strictures, especially corrosive strictures, require repeated sessions of endoscopic dilation and may also recur [1-8]. It has been suggested that the extent of fibrosis in the esophageal wall is an important determinant of stricture severity and may influence the response to endoscopic dilation [9-10].…”

What’s new in the pathology, pathophysiology and management of benign esophageal disorders?

“…Richter 406 provides a practical approach to the diagnosis and treatment of esophageal dysphagia and Miller et al 407 review the management of non‐peptic esophageal strictures. Several authors discuss the role of radiology in assessing patients with dysphagia 408 –410 .…”