Stricture related to an inlet patch of the esophagus

A 64-yr-old female was referred for evaluation of dysphagia. An esophagram showed a stricture in the proximal esophagus. On esophagogastroduodenoscopy, the patient was found to have a 3-cm stricture beginning at 14 cm from the incisors. This was initially dilated to 45-French with the Savary-Gilliard dilators. Biopsies and cytology of the stricture showed benign columnar epithelium. Subsequent dilations over the next 2 months resulted in dilation to 60-French with the esophageal dilators. Ulcerations related to this strictured area were healed over this period, with a sucralfate slurry, and the area of abnormality after healing appeared to be that of an esophageal inlet patch.