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Esophageal Stenosis

Esophageal Stricture


Presentation

  • We report the case of a 26 year old white male who presented with dysphagia in 2001. Endoscopy revealed an esophageal stenosis 35 cm aboral without signs of mucosal inflammation, that was dilated once.[ncbi.nlm.nih.gov]
  • We report 6 new cases of congenital esophageal stenosis (CES) that presented to us with special diagnostic and management problems and review the literature on this subject.[ncbi.nlm.nih.gov]
  • We discuss the pathophysiology, clinical presentation, differential diagnosis, and multidisciplinary management of peptic esophageal strictures. This case illustrates the difficulty in managing high peptic strictures.[ncbi.nlm.nih.gov]
  • Long-term results of endoscopic dilation are also presented.[ncbi.nlm.nih.gov]
  • Congenital esophageal stenosis is a narrowing of esophageal lumen that is present at birth, and may be asymptomatic in the neonate. Stenosis of the lower esophagus is a very rare form of esophageal obstruction.[ncbi.nlm.nih.gov]
Mediastinal Lymphadenopathy
  • The occurrence of radiological mediastinal lymphadenopathy as the only evidence of tumor recurrence of cervical carcinoma is very rare. We report on such a case with stenosis of the esophagus.[ncbi.nlm.nih.gov]
Weight Loss
  • We report a case of a 56-year-old woman with a history of allogenic bone marrow transplantation for two years, complaining with dysphagia and weight loss. Upper endoscopy revealed esophageal stenosis and extensive mucosa sloughing.[ncbi.nlm.nih.gov]
  • It is, however a serious medical problem that may require otolaryngologic intervention because of life-threatening dysphagia and weight loss.[ncbi.nlm.nih.gov]
  • Weight loss Dehydration Cough, particularly at night Prevention of Esophageal Stricture Aggressive treatment of chronic gastroesophageal reflux is necessary. Store all corrosive chemicals where they will be inaccessible to children.[healthcommunities.com]
  • Other common symptoms include the sensation of having food trapped in the esophagus, regurgitation of food, weight loss and malnourishment. Diagnosis of an esophageal stricture is done by either a barium swallow and X-ray or an endoscopy exam.[livestrong.com]
  • In many cases, it is asymptomatic, even though postprandial abdominal pain or, during exercise, nauseas, vomiting, and weight loss could be found.[websurg.com]
Juvenile Cataract
  • Rothmund Thomson syndrome (RTS) is a rare autosomal recessive disorder which is primarily diagnosed by clinical manifestations that include poikiloderma, short stature, sparse hair distribution, juvenile cataracts, small hands and feet, bone defects,[ncbi.nlm.nih.gov]
  • The syndrome typically presents with a characteristic facial rash (poikiloderma), its diagnostic hallmark, and heterogeneous clinical features including congenital skeletal abnormalities, sparse hair distribution, juvenile cataracts, and a predisposition[ncbi.nlm.nih.gov]
Dysphagia
  • CONCLUSION: Pharyngeal and/or cervical esophageal stenosis may be the cause of dysphagia following radiation for head and neck cancer. Esophageal dilatations often offer temporary relief of the dysphagia.[ncbi.nlm.nih.gov]
  • The patient was asymptomatic until 2004, when he presented again with dysphagia. Eosinophilic esophagitis was diagnosed. Dilatation was repeated. The further clinical course was uneventful with no more episodes of dysphagia.[ncbi.nlm.nih.gov]
  • Here we report the case of a 9-month old female infant who presented intermittent vomiting, dysphagia and refusal of solid foods starting after weaning. She was treated for gastroesophageal reflux.[ncbi.nlm.nih.gov]
  • The technical success, clinical success (improved food intake and reduced dysphagia within 1 month following the first balloon dilatation), dysphagia recurrence, and complications were retrospectively evaluated.[ncbi.nlm.nih.gov]
  • Other etiologies of dysphagia must be looked into, but when the expected results are not realized CES should be considered.[ncbi.nlm.nih.gov]
Progressive Dysphagia
  • A 5-year-old girl with Stevens-Johnson syndrome developed progressive dysphagia secondary to esophageal stenosis. The authors resolved this by treating the patient with balloon dilatation. She has remained symptom-free for 10 months post-treatment.[ncbi.nlm.nih.gov]
  • Right: Tight stricture at the esophagogastric junction in a 98 year-old woman who had complained of progressive dysphagia to solids.[endoatlas.com]
Recurrent Vomiting
  • An 1-year-old girl was referred for recurrent vomiting and dysphagia. An esophagogram showed an abrupt stenosis, and endoscopic ultrasonography showed cartilaginous tracheobronchial remnants within the esophageal wall.[ncbi.nlm.nih.gov]
Ptosis
  • The child also had phenotypic features previously described in patients with a similar deletion, as growth retardation, microcephaly, coloboma of papilla, ptosis, hearing loss, urinary tract anomalies, partial agenesis of sacrum, hypotonia and neuropsychomotor[ncbi.nlm.nih.gov]
Small Hand
  • Rothmund Thomson syndrome (RTS) is a rare autosomal recessive disorder which is primarily diagnosed by clinical manifestations that include poikiloderma, short stature, sparse hair distribution, juvenile cataracts, small hands and feet, bone defects,[ncbi.nlm.nih.gov]
Sparse Hair
  • Rothmund Thomson syndrome (RTS) is a rare autosomal recessive disorder which is primarily diagnosed by clinical manifestations that include poikiloderma, short stature, sparse hair distribution, juvenile cataracts, small hands and feet, bone defects,[ncbi.nlm.nih.gov]
  • The syndrome typically presents with a characteristic facial rash (poikiloderma), its diagnostic hallmark, and heterogeneous clinical features including congenital skeletal abnormalities, sparse hair distribution, juvenile cataracts, and a predisposition[ncbi.nlm.nih.gov]
Skin Lesion
  • The early and long-term follow-up was characterized by the disappearance of dysphagia, weight gain, and improvement of his skin lesions.[ncbi.nlm.nih.gov]

Treatment

  • The other five patients completed the treatment regimen and displayed significantly lower stricture indices (SIs) post-treatment (mean SI standard deviation 0.736 0.101 pre-treatment versus 0.558 0.162 post-treatment; p 0.008).[ncbi.nlm.nih.gov]
  • Inappropriate treatment often is carried out before the correct diagnosis is established.[ncbi.nlm.nih.gov]
  • In this study, most patients ultimately required surgical treatment. Surgical repair for CES is the authors' preferred treatment, although initial dilatation may be effective for some patients. Copyright 2003, Elsevier Science (USA).[ncbi.nlm.nih.gov]
  • Surgical excision of the cartilaginous segment is the preferred treatment. This is a report of a new technique for the treatment of esophageal stenosis in children.[ncbi.nlm.nih.gov]
  • This study retrospectively evaluated the efficacy and safety of a conservative treatment of CES. PATIENTS AND METHODS: Patients diagnosed with CES since 1980 by a barium study or endoscopy were reviewed.[ncbi.nlm.nih.gov]

Prognosis

  • Multivariable analyses indicated only esophageal stenosis as a common factor for poor prognosis. In addition, overall survival tended to decrease according to the GPS subgroups (median survival time (months): GPS0/GPS1/GPS2 16.1/14.9/8.7).[ncbi.nlm.nih.gov]
  • Treatment and prognosis The risk of Barrett esophagus in a stricture is 20-40% and strictures should be evaluated endoscopically.[radiopaedia.org]
  • Prognosis .—It is unfavorable in the large majority of cases. Where, there is but little structural change, repeated dilatation will effect a cure. Treatment .—It is very doubtful if medicines produce any influence on this unfortunate condition.[henriettes-herb.com]

Etiology

  • EUS was useful for determining the etiology of esophageal stenosis and, thus, the appropriate treatment strategy.[ncbi.nlm.nih.gov]
  • Other etiologies of dysphagia must be looked into, but when the expected results are not realized CES should be considered.[ncbi.nlm.nih.gov]
  • Abstract Esophageal duplication and congenital esophageal stenosis (CES) may represent diseases with common embryologic etiologies, namely, faulty tracheoesophageal separation and differentiation.[ncbi.nlm.nih.gov]
  • We found that the long-term success rate of dilation of ES depends primarily upon the etiology of the stenosis.[omicsonline.org]
  • CES should be considered in the etiology of anastomotic stricture. Taking a surgical specimen routinely from the tip of the LEP during primary esophageal repair for histologic studies is highly recommended.[ncbi.nlm.nih.gov]

Pathophysiology

  • We discuss the pathophysiology, clinical presentation, differential diagnosis, and multidisciplinary management of peptic esophageal strictures. This case illustrates the difficulty in managing high peptic strictures.[ncbi.nlm.nih.gov]
  • Newborn Surgery, Third Edition provides a comprehensive compendium of the pathophysiology, investigation and management of neonatal disorders.[books.google.com]
  • .: Pathophysiology and management of acute corrosive burns of the esophagus. Mod. Treatm. 7 , 1182–1189 (1970). Google Scholar Haller , J.[link.springer.com]
  • The evolving appreciation of the role of esophageal mucosal protection in the pathophysiology of gastroesophageal reflux disease. J Pract Gastroenterol 1994;18:20J-20Q. 7. Namiot Z, Sarosiek J, Rourk RM, McCallum RW.[hon.ch]

Prevention

  • CONCLUSION: Biodegradable stents were useful for the treatment of benign esophageal stenosis, particularly for the prevention of post-ESD stenosis.[ncbi.nlm.nih.gov]
  • I prefer to medicate through eating properly and avoiding trigger foods to prevent the problem before it starts. Heartburn medications just cover up the problems caused by improper diet.[howtotreatheartburn.com]
  • Turmeric is not considered a treatment or cure for esophageal strictures, although it may help prevent them in some capacity. However, more research is needed before any recommendations can be made.[livestrong.com]
  • Repeated dilation may be necessary to prevent the stricture from returning. Proton pump inhibitors – Medications such as omeprazole, lansoprazole or rabeprazole can help in keeping strictures from returning.[schmidtlaw.com]

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