Endoscopic management of benign recalcitrant esophageal strictures

Umesha Boregowda, Hemant Goyal, Rupinder Mann, Mahesh Gajendran, Sandeep Patel, Juan Echavarria, Hari Sayana, Shreyas Saligram

Research output: Contribution to journalReview articlepeer-review

Abstract

Benign esophageal strictures are one of the common clinical conditions managed by endoscopists. Nearly 90% of the benign esophageal strictures respond to endoscopic dilation. However, a small percentage of patients progress to recalcitrant strictures. The benign recalcitrant esophageal strictures are difficult to manage both medically and endoscopically as they do not respond to conventional treatment with proton pump inhibitors and esophageal dilations. Patients with benign recalcitrant esophageal strictures are at a high risk of developing debilitating malnutrition and morbidity due to severe dysphagia. This condition is associated with psychological trauma to patients as treatments are usually prolonged with poor outcomes. Also, this can be a financial burden on the healthcare industry due to several sessions of treatment. In this article, we discuss the classification of benign esophageal strictures, evidence-based treatment strategies, endoscopic procedural techniques, and complications of endoscopic interventions. We aim to guide providers in managing benign esophageal strictures with a focus on endoscopic management of benign recalcitrant esophageal strictures.

Original languageEnglish (US)
Pages (from-to)287-299
Number of pages13
JournalAnnals of Gastroenterology
Volume34
Issue number3
DOIs
StatePublished - 2021

Keywords

  • Benign recalcitrant esophageal strictures
  • Esophageal stent
  • Intralesional steroid injection
  • IT knife
  • Mitomycin C

ASJC Scopus subject areas

  • Gastroenterology

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