ESOPHAGEAL STRICTURE Flashcards
1
Q
Definition
A
Benign: congenital (webs) or acquired from any esophageal injury: chronic reflux, infection, inflammation
2
Q
Symptoms
A
Asymptomatic if small. If obstructive —> progressive dysphagia, first to solids then to liquids (unlike motility disorders)
3
Q
Causes (4)
A
- Long-standing GERD
- Radiotherapy
- Ingestion of corrosives
- Prolonged NGT
4
Q
Diagnosis
A
Based on barium swallow
Endoscopy must be done to further assess the location, size, dispensibility, and biopsy to rule out carcinoma
5
Q
Treatment
A
Endoscopic dilation + PPIs (if the cause is GERD); complication of procedure esophageal rupture —> pneumomedistinum
