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Esophageal Stricture

Pronounced: Ee-sof-uh-gee-uhl

Definition

Esophageal stricture is the narrowing of the esophagus. The esophagus is a muscular tube that carries food and liquids from the mouth to the stomach. Esophageal stricture makes it hard to swallow and move contents downward.

Esophageal Stricture

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Causes    TOP

Esophageal stricture is typically caused by scar tissue that develops as a result of the following:

  • Ingestion of damaging substances, such as household cleaning agents
  • Treatment of esophageal varices—enlarged veins in the esophagus
  • Injuries caused by an endoscope—a thin, lighted tube used to see inside the body
  • Esophageal cancer
  • Tracheoesophageal malformations

Risk Factors    TOP

Factors that may increase your chance of esophageal stricture include:

Symptoms    TOP

Esophageal stricture may cause:

  • Difficulty swallowing
  • Pain when swallowing
  • Unintentional weight loss
  • Regurgitation of food—when food flows back from the stomach into the esophagus or mouth
  • Large chunks of food to get stuck in the esophagus

Diagnosis    TOP

Your doctor will ask about your symptoms and medical history. A physical exam will be done. Tests may include:

Treatment    TOP

Talk with your doctor about the best treatment plan for you. Options include:

Esophageal Dilation

Esophageal dilation is a procedure your doctor performs to stretch or widen your esophagus. An endoscope will be passed through your mouth and into the esophagus, stomach, and the first part of the small intestine. A small balloon or tapered plastic dilators will be used to stretch your esophagus. Repeat dilations are often required to adequately stretch the esophagus.

Proton Pump Inhibitors

When esophageal stricture is caused by GERD, proton pump inhibitors or acid-blocking medications are used to prevent the stricture from returning.

Surgery    TOP

Surgery may be necessary if the stricture is too tight or wide.

Prevention    TOP

To help reduce your chance of esophageal stricture:

  • Follow your treatment plan if you have been diagnosed with GERD.
  • Treat any other high risk cause as directed by your doctor.
  • Avoid ingesting corrosive substances.
  • Keep corrosive substances locked up and away from children.

RESOURCES:

Family Doctor—American Academy of Family Physicians
http://familydoctor.org
American Society for Gastrointestinal Endoscopy
http://www.asge.org

CANADIAN RESOURCES:

Canadian Association of Gastroenterology
https://www.cag-acg.org
The College of Family Physicians of Canada
http://www.cmaj.ca

References:

Caustic esophageal stricture. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated August 8, 2014. Accessed September 29, 2016.
Gastroesophageal reflux disease (GERD). EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated April 11, 2016. Accessed September 29, 2016.
Oesophageal strictures, webs, and rings. Patient UK website. Available at:
...(Click grey area to select URL)
Updated March 18, 2011. Accessed July 15, 2013.
Understanding esophageal dilation. American Society for Gastrointestinal Endoscopy website. Available at:
...(Click grey area to select URL)
Accessed July 15, 2013.
Last reviewed June 2016 by Daus Mahnke, MD
Last Updated: 6/18/2014

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