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Long Esophageal Stricture in a Brittle Diabetic
Stella C Pak1, Umar Darr1, Yaseen Alastal1
1Department of Medicine, University of Toledo Medical Center, Toledo, Ohio, USA.
Euroasian Journal of Hepato-Gastroenterology
|December 5, 2017
Summary
Gastroesophageal reflux disease (GERD) can cause long esophageal strictures in brittle diabetics. This case highlights the need for awareness of this association in clinical practice.
Area of Science:
- Gastroenterology
- Endocrinology
Background:
- Diabetes mellitus and gastroesophageal reflux disease (GERD) are prevalent conditions.
- GERD can lead to esophageal complications, particularly in patients with diabetes.
Purpose of the Study:
- To report a case of atypical esophageal stricture in a young woman with diabetes.
- To highlight the association between diabetes, GERD, and severe esophageal strictures.
Main Methods:
- A case report of a young diabetic woman with a 6-cm esophageal stricture.
- The stricture was refractory to multiple esophageal dilation attempts.
- Treatment involved subtotal esophagectomy with a successful outcome.
Main Results:
- The patient developed a long esophageal stricture.
- Standard dilation procedures were ineffective.
- Subtotal esophagectomy resulted in an excellent treatment outcome.
Conclusions:
- Gastroesophageal reflux disease can cause severe, long esophageal strictures in brittle diabetics.
- Increased awareness of the diabetes-GERD association is crucial for medical practice.
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