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Benign Strictures of the Esophagus, Stomach and Duodenum: Evaluation and Management

  • Vivek KaulEmail author
  • Shivangi T. Kothari
Chapter

Abstract

Benign esophageal and foregut strictures are a significant cause of morbidity. The etiologies for benign esophageal strictures range from inflammatory to iatrogenic; dysphagia is the most common presentation. Most underlying causes for esophageal strictures are intrinsic (luminal) although some are extrinsic, related to intramural or mediastinal disease. Gastric and duodenal strictures also have varying etiologies, although the most common presentation is nausea and vomiting due to gastric outlet or small bowel obstruction. Radiologic and endoscopic evaluations are the appropriate investigations that help define the extent and configuration of these strictures. Endoscopic management has emerged as the mainstay of treatment, although in some refractory cases, surgical intervention may be required for definitive treatment. In this chapter, we will review the etiology and the endoscopic approach to the evaluation and management of benign esophageal and foregut strictures.

Keywords

Esophagus Stricture Stenosis Obstruction Luminal narrowing Dilation Bougie 

Supplementary material

Video 6.1

Benign strictures of the esophagus, stomach and duodenum: evaluation and management (MP4 150094 kb)

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Division of Gastroenterology/HepatologyCenter for Advanced Therapeutic Endoscopy, University of Rochester Medical Center & Strong Memorial HospitalRochesterUSA

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