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Related Concept Videos

Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

783
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
783
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

555
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
555
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

1.4K
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
1.4K
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

543
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
543
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

645
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
645
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

491
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Related Experiment Video

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ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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Esophageal Lichen Planus Stricture.

Farhad Zamani1, Mehran Haghighi1, Mohammad Roshani1

  • 1Gastroenterology and Liver Disease Research Center, Iran University of Medical Sciences, Firoozgar Hospital, Tehran, Ira.

Middle East Journal of Digestive Diseases
|May 4, 2019
PubMed
Summary

Esophageal lichen planus, a rare condition, can cause dysphagia due to strictures. This case highlights the importance of considering lichen planus in the differential diagnosis for patients experiencing swallowing difficulties.

Keywords:
DysphagiaEsophageal strictureLichen planus

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Area of Science:

  • Gastroenterology
  • Dermatology
  • Pathology

Background:

  • Lichen planus is a chronic inflammatory condition affecting skin and mucosa.
  • Esophageal involvement, particularly with stricture formation, is an uncommon manifestation.
  • Oral lichen planus often precedes or accompanies esophageal strictures.

Observation:

  • A 48-year-old woman presented with progressive dysphagia to solids.
  • She had a known history of oral lichen planus.
  • Upper endoscopy identified a benign esophageal stricture consistent with lichen planus.

Findings:

  • The esophageal stricture in this patient was successfully treated with wire-guided bougie dilation.
  • Three dilation sessions led to complete resolution of her dysphagia symptoms.
  • Histopathological examination confirmed lichen planus features of the esophageal stricture.

Implications:

  • This case underscores the necessity of including esophageal lichen planus in the differential diagnosis for patients presenting with dysphagia.
  • Early recognition and appropriate management, such as dilation, can significantly improve patient outcomes.
  • Further research may elucidate the pathogenesis and optimal treatment strategies for esophageal lichen planus strictures.