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[Benign esophageal strictures : endoscopic treatment options]
Michael Drepper1, Philippe Bichard1, Jean-Louis Frossard1
1Service de gastroentérologie et d'hépatologie, Département des spécialités de médecine, HUG, 1211 Genève 14.
Revue Medicale Suisse
|July 5, 2017
Summary
Esophageal stricture dilation is effective for most patients. Refractory cases may benefit from corticoids, stenting, or surgery for improved outcomes.
Area of Science:
- Gastroenterology
- Endoscopic procedures
Background:
- Benign esophageal strictures are common, causing dysphagia.
- Initial treatment involves dilation, succeeding in ~75% of cases.
- Complex or refractory strictures require advanced interventions.
Purpose of the Study:
- To outline treatment strategies for benign esophageal strictures.
- To discuss management of refractory strictures.
Main Methods:
- Review of current endoscopic treatment modalities.
- Discussion of dilation, corticoid injection, stenting, and surgery.
Main Results:
- Dilation is the primary treatment for esophageal strictures.
- Corticoid injections improve outcomes for peptic strictures.
- Self-expandable metallic stents (SEMS), plastic stents (SEPS), or biodegradable stents are options for complex strictures.
Conclusions:
- Benign esophageal strictures are manageable with various endoscopic techniques.
- Refractory cases necessitate advanced interventions like stenting or surgery.
- Treatment choice depends on stricture complexity and origin.
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