The Full Wiki

Esophageal stricture: Wikis

Advertisements
  

Note: Many of our articles have direct quotes from sources you can cite, within the Wikipedia article! This article doesn't yet, but we're working on it! See more info or our list of citable articles.

Encyclopedia

From Wikipedia, the free encyclopedia

Esophageal stricture
Classification and external resources

Endoscopic image of a benign peptic stricture
ICD-10 K22.2
ICD-9 530.3
DiseasesDB 31502
MedlinePlus 000207
eMedicine med/744
MeSH D004940

Benign esophageal stricture is a narrowing or tightening of the esophagus that causes swallowing difficulties.

Contents

Causes

It can be caused by or associated with gastroesophageal reflux disease, esophagitis (inflammation of the esophagus), dysfunctional lower esophageal sphincter, disordered motility, or a hiatal hernia. Strictures can form after esophageal surgery and other treatments such as laser therapy or photodynamic therapy. While the area heals a scar forms, causing the tissue to pull and tighten which leads to difficulty in swallowing.[1]

Diagnosis

It can be diagnosed with an X-Ray while the patient swallows barium (called a barium study of the esophagus), by a computerized tomography scan (an X-Ray that can take pictures of the esophagus), a biopsy, to take a sample of tissue to check for esophageal cancer[2] or by an endoscopy (in which a scope is passed into the esophagus).

Incidence/prevalence

Gastroesophageal reflux disease (GERD) affects approximately 40% of adults. Strictures occur in 7 to 23% of patients with GERD who are untreated.[3]

Symptoms

Symptoms of esophageal strictures include heartburn, bitter or acid taste in your mouth, black and tarry bowel movements, choking, coughing, shortness of breath, frequent burping or hiccups, pain or trouble swallowing, throwing up blood, or weight loss.[4]

Treatment

If it is caused by esophagitis, then it is treated by treating the infection (typically with antibiotics). In order to open the stricture, a surgeon can insert a bougie, a weighted tube used to dilate the constricted areas in the esophagus.[5] It can also be treated during an endoscopy with a special balloon that inflates in the esophagus (called "Dilation of the stricture"), or with other medications. For example, an H2 blocker medicine (e.g., ranitidine) or a proton-pump inhibitor (e.g., omeprazole) can treat underlying acid reflux disease.

Prevention

In order to try and avoid strictures, one should eat solid foods which naturally stretch the esophagus. However, one can still develop a stricture even if they do eat solid foods.[6]

References

  1. ^ Ginex, Pamela K., Manjit S. Bains, Jacqueline Hanson, and Bart L. Frazzitta. 100 Questions & Answers About Esophageal Cancer (100 Questions & Answers). New York: Jones and Bartlett, Inc., 2005. Print.
  2. ^ Discovery Health - Esophageal Strictue: Article by David J. Craner, MD (http://health.discovery.com/encyclopedias/illnesses.html?chrome=None&article=220&page=1)
  3. ^ eMedicine - Esophageal Stricture : Article by Rajeev Vasudeva
  4. ^ PDRhealth - Esophageal Stricture: (http://www.pdrhealth.com/disease/disease-mono.aspx?contentFileName=ND7417G.xml&contentName=Esophageal+Stricture&contentId=506&TypeId=2)
  5. ^ Ginex, Pamela K., Manjit S. Bains, Jacqueline Hanson, and Bart L. Frazzitta. 100 Questions & Answers About Esophageal Cancer (100 Questions & Answers). New York: Jones and Bartlett, Inc., 2005. Print.
  6. ^ Ginex, Pamela K., Manjit S. Bains, Jacqueline Hanson, and Bart L. Frazzitta. 100 Questions & Answers About Esophageal Cancer (100 Questions & Answers). New York: Jones and Bartlett, Inc., 2005. Print.

See also

External links

Advertisements

Advertisements






Got something to say? Make a comment.
Your name
Your email address
Message