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Flexible panendoscopy has changed benign esophageal stricture management, with most cases now treated medically. New dilators like balloon and Savary offer effective options, maintaining low morbidity and mortality rates below 1%.

Area of Science:

Gastroenterology
Endoscopy
Esophageal Diseases

Background:

Flexible panendoscopy has revolutionized benign esophageal stricture management.
Medical management is now the primary approach for most esophageal strictures.
Advancements in esophageal dilators significantly impact treatment options.

Purpose of the Study:

To review the current management of benign esophageal strictures.
To evaluate the impact of new esophageal dilators on treatment strategies.
To assess the efficacy and safety of different dilation techniques.

Main Methods:

Analysis of clinical experience with various esophageal dilators.
Categorization of dilator use based on stricture characteristics (symmetry, diameter).

Related Experiment Videos

Review of morbidity and mortality rates associated with esophageal dilation.

Main Results:

Maloney dilators are used for symmetrical strictures >1.2-1.4 cm (56%).
Hydrostatic balloon dilators are used for asymmetrical strictures ≥1.2 cm (24%).
Savary thermoplastic dilators are used for strictures ≤1.2 cm (20%), replacing Eder-Puestow dilators.
Morbidity and mortality rates are low (<1%), with specific rates of 0.1% and 0.05% in recent cases.

Conclusions:

Flexible panendoscopy and modern dilators have improved benign esophageal stricture management.
The choice of dilator depends on stricture morphology and size.
Current dilation techniques offer a safe and effective treatment option with minimal complications.