Specialist ENT OESOPHAGEAL STRICTURES

OESOPHAGEAL STRICTURES

Oesophageal strictures can be divided into:

I) Caustic strictures.

II) Strictures secondary to esophagitis and reflux.

I) Caustic strictures

Specialist ENT Screenshot 2020 11 30 book oesophagus almost final

Aetiology: Ingestion of caustic agents such as dye, drain openers, acids.

Diagnosis:

a) History of ingestion.

b) Symptoms: Shock, burning sensation.

c) Endoscopy to determine the damage.

Treatment:

Medical:

a) Neutralizing agent.

b) Corticosteroids and broad-spectrum antibiotics for 3-6 weeks.

c) Barium swallow of the oesophagus performed after 10-14 days to determine development of stricture.

Surgical:

a) Dilatation of stricture if present.

b) Oesophageal replacement surgery with colon or stomach may be necessary.

II. Secondary strictures to esophagitis and reflux:
Specialist ENT Screenshot 2020 11 30 book oesophagus almost final1

Pathophysiology:
a) Usually at gastro-oesophageal junction.

b) In severe cases long stricture may result.

Diagnosis:

a) History of reflux symptoms and dysphagia is suggestive of strictures.

b) Barium swallow of the oesophagus confirms the diagnosis.

c) Fibre-optic upper GI endoscopy done to locate the site of the stricture and take a biopsy if required.

d) Rigid oesophagoscopy is important to determine the extent of disease,rule out malignancy and take a biopsy if required.

Treatment:

a) Dilatation of the oesophagus by fibre optic oesophagoscopy is attempted first and anti-reflux operation is performed.

b) Reconstructive surgery using stomach or colon.

Specialist ENT Screenshot 2020 11 30 book oesophagus almost final2

We Are Always Ready to Help You.
Book An Appointment

Specialist ENT section img
Specialist ENT contact img