Fortunately, most benign esophageal strictures are amenable to pharmacologic, endoscopic, and/or surgical interventions. (medscape.com)
A detailed discussion of possible benign and malignant processes associated with esophageal stricture and its management is beyond the scope of this article. (medscape.com)
Endoscopic appearance of the distal esophagus showing a smooth stricture with a benign appearance. (medscape.com)
Discuss the management of benign refractory strictures? (gastrotraining.com)
Benign esophageal stricture is a narrowing of the esophagus that can cause swallowing difficulties. (gastrohealth.com)
Anastomotic3
Dilation status of the BD before repair has not been assessed as a risk factor for anastomotic stricture. (bvsalud.org)
Long-term anastomotic stricture rate was 5.7% with a mean follow-up period of 61.3 months. (bvsalud.org)
Both surgical and radiological external biliary drainages after BDI appear to be acceptable options to reduce cholangitis before repair without increasing risk for long-term anastomotic stricture. (bvsalud.org)
Dysphagia5
The most common symptom is dysphagia which can occur even in the absence of severe esophageal injury. (uchicago.edu)
This study aims to evaluate the efficacy of endoscopic BTX-A injection combined with balloon dilatation in the treatment of cricopharyngeal achalasia after brainstem stroke, and to provide a better method for the treatment of dysphagia after brainstem stroke. (bvsalud.org)
Dysphagia occurs when the oesophageal diameter is less than 13 mm. (gastrotraining.com)
With esophagitis, the esophageal tissue becomes inflamed and can trigger symptoms, including dysphagia (difficulty swallowing), ulcers, heart burn, and a burning sensation in the esophagus. (gastrohealth.com)
Dilation is used to widen the esophageal passageway to relieve dysphagia. (gastrohealth.com)
Dilatation7
In 3 patients, prophylactic endoscopic balloon dilatation (EBD) was started on the third post-ESD day and was performed twice a week for 8 weeks. (biomedcentral.com)
Patients in both groups were treated with routine rehabilitation therapy, while patients in the control group were treated with balloon dilatation, and patients in the combined group were treated with balloon dilatation and BTX-A injection. (bvsalud.org)
CONCLUSIONS: BTX-A injection combined with balloon dilatation is more effective than balloon dilatation alone in improving swallowing function and is worthy of clinical application. (bvsalud.org)
Reflux esophagitis is an esophageal mucosal injury that occurs secondary to retrograde flux of gastric contents into the esophagus. (medscape.com)
The acidic nature of the refluxed gastric contents is predominantly responsible for the esophageal mucosal damage and subsequent development of reflux esophagitis. (medscape.com)
Esophagus4
The morphologic features of reflux esophagitis in the distal esophagus are variable and nonspecific, and they include basal cell hyperplasia, elongation of vascular papillae, intercellular edema, presence of intraepithelial eosinophils, intraepithelial lymphocytosis, ballooning degeneration of squamous cells and ulceration/erosions. (medscape.com)
A stricture occurs when the inflamed area heals with a scar that narrows the esophagus, resulting in painful or difficulty swallowing. (gastrohealth.com)
But when stricture causes the esophagus to become too narrow, doctors may recommend dilation. (gastrohealth.com)
A procedure that stretches the esophagus through dilation or an air-filled balloon by endoscope. (gastrohealth.com)
Squamous2
Seven patients who underwent wholly circumferential ESD for superficially extended esophageal squamous cell carcinoma were enrolled in this study. (biomedcentral.com)
We report on 7 consecutive patients with superficial esophageal squamous cell carcinoma (SCC) who underwent wholly circumferential ESD. (biomedcentral.com)
Lumen2
Endoscopic submucosal dissection (ESD) permits removal of esophageal epithelial neoplasms en bloc , but is associated with esophageal stenosis, particularly when ESD involves the entire circumference of the esophageal lumen. (biomedcentral.com)
Because all superficial SCCs involved nearly the entire circumference of the esophageal lumen, complete circular resection was considered necessary in each patient. (biomedcentral.com)
Reflux5
Peptic esophageal strictures are sequelae of gastroesophageal reflux -induced esophagitis, and they usually originate at the squamocolumnar junction and average 1-4 cm in length. (medscape.com)
Dysfunctional lower esophageal sphincter: Mean LES pressures are lower in patients with peptic strictures compared with healthy controls or patients with milder degrees of reflux disease. (medscape.com)
Hiatal hernias are found in 10-15% of the general population, 42% of patients with reflux symptoms and no esophagitis, 63% of patients with esophagitis, and 85% of patients with peptic esophageal strictures. (medscape.com)
1] Histologically, this is referred to as "reflux esophagitis," because it was initially thought to cause an inflammatory (~itis) response in the esophageal mucosa. (medscape.com)
The majority of oesophageal strictures are reflux related. (gastrotraining.com)
Malignant1
Computed tomography (CT) scanning and endoscopic ultrasonography are valuable aids in staging of malignant stricture. (medscape.com)
Esophagitis3
Patients with peptic esophageal strictures have been demonstrated to have the same acid and pepsin secretion rates as sex-matched and age-matched controls with esophagitis but no stricture formation. (medscape.com)
What are the Symptoms of Esophagitis and Stricture? (gastrohealth.com)
Have questions about esophagitis and stricture? (gastrohealth.com)
Endoscope1
Stricture diameter can be estimated by comparing the stricture to the outer diameter of the endoscope (outer diameter is around 9 mm for diagnostic scopes and 11 mm for therapeutic scopes). (gastrotraining.com)
Complications1
There were no differences in long-term biliary complications according to dilation status (ND vs. dBD: 12.2% vs. 10.5%, p = 1). (bvsalud.org)
Patients7
A study by Ahtaridis et al showed that patients with peptic esophageal strictures had a mean LES pressure of 4.9 mm Hg versus 20 mm Hg in control patients. (medscape.com)
Disordered motility resulting in poor esophageal clearance: In the same study, Ahtaridis et al demonstrated that 64% of patients with strictures had motility disorders compared with 32% of patients without strictures. (medscape.com)
the postprocedural stricture was dilated up to 18 mm in diameter in these patients. (biomedcentral.com)
Among these patients, 4 were treated with an 8-week course of oral prednisolone, which effectively either prevented esophageal stricture or reduced the number of EBD sessions. (biomedcentral.com)
All IUA patients underwent HA separation followed by periodic balloon dilation along with hormone replacement therapy (HRT). (bvsalud.org)
In some patients symptoms tend to recur rapidly following dilation to adequate diameter of 14-15 mm. (gastrotraining.com)
Such patients require more frequent dilations based upon symptoms. (gastrotraining.com)
Steroid2
We examined the effectiveness of systemic steroid administration for control of postprocedural esophageal stricture after complete circular ESD. (biomedcentral.com)
If strictures continue to return post-treatment, surgery, dilation therapy with steroid injections, or stent placement may be considered. (gastrohealth.com)
Biopsy1
The etiology of esophageal stricture can usually be identified using radiologic and endoscopic modalities and can be confirmed by endoscopic visualization and tissue biopsy. (medscape.com)
Diameter1
A 12 mm balloon can be used for stricture diameter of 5mm or more. (gastrotraining.com)
Stomach1
Stricture can be caused by GERD as well, but also by certain medications, long-term use of a nasogastric tube that runs from the nose to the stomach, swallowing corrosive substances, or bacterial or viral infection. (gastrohealth.com)
Effectiveness1
Objective: To assess the effectiveness of hysteroscopic adhesiolysis (HA) combined with periodic balloon dilation in treating IUA and its impact on reproductive outcomes in women undergoing IVF treatment. (bvsalud.org)
Tend1
Because of this, esophageal burns are rare and those that do occur tend to be mild and do not require treatment. (uchicago.edu)
Scope1
Balloon dilators are widely used and may be passed through the scope. (gastrotraining.com)
Presence1
[ 1 ] An LES pressure of less than 8 mm Hg appeared to correlate significantly with the presence of peptic esophageal stricture without any overlap in controls. (medscape.com)
Treatment1
Use of oral prednisolone administration may be an effective treatment strategy for reducing post-ESD esophageal stricture after complete circular ESD. (biomedcentral.com)
Previous1
As a general rule, the last balloon size in the previous session can be used first. (gastrotraining.com)
Role1
Gastric emptying: No good evidence suggests that delayed emptying plays a role in peptic esophageal strictures. (medscape.com)
Article1
Because peptic strictures account for 70-80% of all cases of esophageal stricture, peptic stricture is the focus of this article. (medscape.com)
Risk1
People who have frequent heartburn, vomit excessively, have had surgery or radiation to the chest or take medications like aspirin, ibuprofen, and potassium, are at a higher risk of developing strictures. (gastrohealth.com)
Function1
and (3) diseases that disrupt esophageal peristalsis and/or lower esophageal sphincter (LES) function by their effects on esophageal smooth muscle and its innervation. (medscape.com)