Learn About Benign Esophageal Stricture

What is the definition of Benign Esophageal Stricture?

Benign esophageal stricture is a narrowing of the esophagus (the tube from the mouth to the stomach). It causes swallowing difficulties.

Benign means that it is not caused by cancer of the esophagus.

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What are the causes of Benign Esophageal Stricture?

Esophageal stricture can be caused by:

  • Gastroesophageal reflux (GERD).
  • Eosinophilic esophagitis.
  • Injuries caused by an endoscope.
  • Long-term use of a nasogastric (NG) tube (tube through the nose into the stomach).
  • Swallowing substances that harm the lining of the esophagus. These may include household cleaners, lye, disc batteries, or battery acid.
  • Treatment of esophageal varices.
What are the symptoms of Benign Esophageal Stricture?

Symptoms may include:

  • Trouble swallowing
  • Pain with swallowing
  • Unintentional weight loss
  • Regurgitation of food
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What are the current treatments for Benign Esophageal Stricture?

Dilation (stretching) of the esophagus using a thin cylinder or balloon that is inserted through an endoscope is the main treatment for acid reflux-related strictures. You may need to have this treatment repeated after a period of time to prevent the stricture from narrowing again.

Proton pump inhibitors (acid-blocking medicines) can keep a peptic stricture from returning. Surgery is rarely needed.

If you have eosinophilic esophagitis, you may need to take medicines or make changes to your diet to reduce the inflammation. In some cases, dilation is done.

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What is the outlook (prognosis) for Benign Esophageal Stricture?

The stricture may come back in the future. This would require a repeat dilation.

What are the possible complications of Benign Esophageal Stricture?

Swallowing problems may keep you from getting enough fluids and nutrients. Solid food, especially meat, can get stuck above the stricture. If this happens, endoscopy would be needed to remove the lodged food.

There is also a higher risk of having food, fluid, or vomit enter the lungs with regurgitation. This can cause choking or aspiration pneumonia.

When should I contact a medical professional for Benign Esophageal Stricture?

Call your health care provider if you have swallowing problems that do not go away.

How do I prevent Benign Esophageal Stricture?

Use safety measures to avoid swallowing substances that can harm your esophagus. Keep dangerous chemicals out of the reach of children. See your provider if you have GERD.

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What are the latest Benign Esophageal Stricture Clinical Trials?
Outcomes of Esophageal Self Dilation for Benign Refractory Esophageal Stricture Management: Randomized Controlled Trial

Summary: Among patients with refractory benign esophageal stricture (RBES) who were treated endoscopically, we hypothesized the following: Compared to a endoscopy as needed approach, esophageal self -dilation therapy (ESDT) decreases the number of endoscopic dilation, prolong dysphagia free interval Esophageal self -dilation therapy is safe and well tolerated therapy ESDT significantly lower the health cos...

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Randomized Prospective Trial of Balloon Dilation Technique for Benign Esophageal Strictures.

Summary: This is the first head to head, prospective, randomized, double-blind clinical trial comparing two different approaches of balloon dilation (standard versus progressive dilation) for benign esophageal strictures. A retrospective study on patients with benign esophageal strictures that underwent balloon dilation using the proposed technique found considerable symptomatic improvement in dysphagia. T...

What are the Latest Advances for Benign Esophageal Stricture?
Individually designed fully covered self-expandable metal stents for pediatric refractory benign esophageal strictures.
Endoscopic Management of Dysphagia.
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Intralesional steroid injections in addition to endoscopic dilation in benign refractory esophageal strictures : a systematic review.
Who are the sources who wrote this article ?

Published Date: October 26, 2020
Published By: Michael M. Phillips, MD, Clinical Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

El-Omar E, McLean MH. Gastroenterology. In: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Davidson's Principles and Practice of Medicine. 23rd ed. Philadelphia, PA: Elsevier; 2018:chap 21.

Rajala MW, Kochman ML. Benign esophageal strictures. In: Chandrasekhara V, Elmunzer J, Khashab MA, Muthusamy VR, eds. Clinical Gastrointestinal Endoscopy. 3rd ed. Philadelphia, PA: Elsevier; 2019:chap 21.

Richter JE, Vaezi MF. Gastroesophageal reflux disease. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 46.