Esophageal stricture

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Esophageal stricture
Classification and external resources
Peptic stricture.png
Endoscopic image of a benign peptic stricture
ICD-10 K22.2
ICD-9 530.3
DiseasesDB 31502
MedlinePlus 000207
eMedicine article/175098
MeSH D004940

A benign esophageal stricture is a narrowing or tightening of the esophagus that causes swallowing difficulties.

Causes[edit]

It can be caused by or associated with gastroesophageal reflux disease, esophagitis, a dysfunctional lower esophageal sphincter, disordered motility, lye ingestion, or a hiatal hernia. Strictures can form after esophageal surgery and other treatments such as laser therapy or photodynamic therapy. While the area heals, a scar forms, causing the tissue to pull and tighten, leading to difficulty in swallowing.[1]

Diagnosis[edit]

It can be diagnosed with an X-Ray while the patient swallows barium (called a barium study of the esophagus), by a computerized tomography scan, a biopsy,[2] or by an endoscopy.

Incidence/prevalence[edit]

Gastroesophageal reflux disease (GERD) affects approximately 40% of adults. Strictures occur in 7 to 23% of patients with GERD who are untreated.[3]

Symptoms[edit]

Symptoms of esophageal strictures include heartburn, bitter or acid taste in your mouth, choking, coughing, shortness of breath, frequent burping or hiccups, pain or trouble swallowing, throwing up blood, or weight loss.[4]

Treatment[edit]

If it is caused by esophagitis, in turn caused by an underlying infection, it is commonly treated by treating the infection (typically with antibiotics). In order to open the stricture, a surgeon can insert a bougie, a weighted tube used to dilate the constricted areas in the esophagus.[1] It can sometimes be treated with other medications. For example, an H2 antagonist (e.g. ranitidine) or a proton-pump inhibitor (e.g. omeprazole) can treat underlying acid reflux disease.

See also[edit]

References[edit]

  1. ^ a b Ginex, Pamela K., Manjit S. Bains, Jacqueline Hanson, and Bart L. Frazzitta. 100 Questions & Answers About Esophageal Cancer (100 Questions & Answers). New York: Jones and Bartlett, Inc., 2005. Print.
  2. ^ Craner, David J. "Esophageal Strictue". Discovery Health. 
  3. ^ Esophageal Stricture at eMedicine
  4. ^ PDRhealth - Esophageal Stricture: (http://www.pdrhealth.com/disease/disease-mono.aspx?contentFileName=ND7417G.xml&contentName=Esophageal+Stricture&contentId=506&TypeId=2)

External links[edit]