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Esophageal Strictures and Endoscopic Management

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Book cover Diagnostic and Therapeutic Procedures in Gastroenterology

Abstract

Esophageal strictures are a relatively common problem in gastroenterology and are broadly divided into benign and malignant types. Recent data suggest that the overall incidence of new and recurrent esophageal strictures have decreased by about 10% and 30%, respectively, over the last decade (El-Serag 2006). This decline in the incidence of esophageal strictures is most likely due to the reduction in peptic-related strictures from the wide use of effective acid suppressive therapy with proton pump inhibitors (Guda and Vakil 2004). That noted, there does appear to be an increase in malignant strictures related to esophageal cancer, especially those located near the gastroesophageal junction (El-Serag 2006).

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References

  • El-Serag HB. Temporal trends in new and recurrent esophageal strictures in Department of Veterans Affairs. Am J Gastroenterol. 2006;101:1727–33.

    Article  PubMed  Google Scholar 

  • Guda NM, Vakil N. Proton pump inhibitors and the time trends for esophageal dilation. Am J Gastroenterol. 2004;99:797–800.

    Article  PubMed  CAS  Google Scholar 

  • Spechler SJ. AGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus. Gastroenterology. 1999;117:233–54.

    Article  PubMed  CAS  Google Scholar 

  • Pereira-Lima JC, Ramires RP, Zamin Jr I, Cassal AP, Marroni CA, Mattos AA. Endoscopic dilation of benign esophageal strictures: report on 1043 procedures. Am J Gastroenterol. 1999;94:1497–501.

    Article  PubMed  CAS  Google Scholar 

  • Lew RJ, Kochman ML. A review of endoscopic methods of esophageal dilation. J Clin Gastroenterol. 2002;35:117–26.

    Article  PubMed  Google Scholar 

  • Enzinger PC, Mayer RJ. Esophageal cancer. N Engl J Med. 2003;349:2241–52.

    Article  PubMed  CAS  Google Scholar 

  • Esfandyari T, Potter JW, Vaezi MF. Dysphagia: a cost analysis of the diagnostic approach. Am J Gastroenterol. 2002;97:2733–7.

    Article  PubMed  Google Scholar 

  • Egan JV, Baron TH, Adler DG, Davila R, Faigel DO, Gan SL, et al. Esophageal dilation. Gastrointest Endosc. 2006;63:755–60.

    Article  PubMed  Google Scholar 

  • Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. J Am Dent Assoc. 2007;138(739–45):747–60.

    Google Scholar 

  • Taitelbaum G, Petersen BT, Barkun AN, Chotiprasidhi B, Chuttani R, Liu J, et al. Tools for endoscopic stricture dilation. Gastrointest Endosc. 2004;59:753–60.

    Article  Google Scholar 

  • Lew RJ, Shah JN, Chalian A, Weber RS, Williams NN, Kochman ML. Technique of endoscopic retrograde puncture and dilatation of total esophageal stenosis in patients with radiation-induced strictures. Head Neck. 2004;26:179–83.

    Article  PubMed  Google Scholar 

  • Scolapio JS, Pasha TM, Gostout CJ, Mahoney DW, Zinsmeister AR, Ott BJ, et al. A randomized prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. Gastrointest Endosc. 1999;50:13–7.

    Article  PubMed  CAS  Google Scholar 

  • Shah JN. Benign refractory esophageal strictures: widening the endoscopist’s role. Gastrointest Endosc. 2006;63:164–7.

    Article  PubMed  Google Scholar 

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Nguyen, N.Q., Shah, J.N. (2011). Esophageal Strictures and Endoscopic Management. In: Wu, G., Sridhar, S. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-044-7_1

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  • DOI: https://doi.org/10.1007/978-1-59745-044-7_1

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-58829-478-4

  • Online ISBN: 978-1-59745-044-7

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