Characterization and Management of Benign Esophageal Strictures

Area of Science:

• Gastroenterology
• Gastrointestinal Endoscopy
• Esophageal Diseases

Background:

• Benign esophageal strictures present challenges for traditional dilation.
• Refractory cases necessitate advanced therapeutic modalities for symptom relief and durability.

Purpose of the Study:

• To review the diagnostic and therapeutic strategies for benign esophageal strictures.
• To emphasize an individualized management approach based on stricture characteristics and patient factors.

Main Methods:

• Review of essential esophageal anatomy.
• Evaluation of diagnostic methods including endoscopy, endoscopic ultrasound, EndoFLIP, OCT, and radiology.
• Summary of therapeutic options such as self-expandable stents, intralesional injections, incisional therapies, and cryoablation.

Main Results:

• Comprehensive overview of diagnostic tools for characterizing strictures.
• Detailed summary of current treatment options for benign esophageal strictures.
• Highlighting the importance of etiology and stricture characteristics in guiding management.

Conclusions:

• An individualized approach is crucial for optimizing outcomes in benign esophageal strictures.
• Integrating diagnostic findings with patient-specific factors ensures tailored and effective treatment.
• Advanced therapies offer improved symptom control and long-term durability for complex cases.