Esophageal stricture history and symptoms: Difference between revisions
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==Overview== | ==Overview== | ||
The hallmark of | The hallmark of esophageal stricture is [[dysphagia]] . A positive history of [[heartburn]] is suggestive of esophageal stricture. The most common symptoms of esophageal stricture include [[dysphagia]], [[odynophagia]], and [[heartburn]]. Less common symptoms of esophageal stricture include [[Chronic (medical)|chronic]] [[cough]] and [[wheezing]]. | ||
==History and Symptoms== | ==History and Symptoms== | ||
The [[hallmark]] of | The [[hallmark]] of esophageal stricture is [[dysphagia]]. Various history findings and [[symptom]]<nowiki/>s associated with esophageal stricture are discussed bellow. | ||
===History=== | ===History=== | ||
Patients with | Patients with esophageal stricture due to different causes may have a positive history of:<ref name="pmid1483661">{{cite journal |vauthors=Csendes A, Braghetto I |title=Surgical management of esophageal strictures |journal=Hepatogastroenterology |volume=39 |issue=6 |pages=502–10 |year=1992 |pmid=1483661 |doi= |url=}}</ref><ref name="pmid8338082">{{cite journal |vauthors=Marks RD, Richter JE |title=Peptic strictures of the esophagus |journal=Am. J. Gastroenterol. |volume=88 |issue=8 |pages=1160–73 |year=1993 |pmid=8338082 |doi= |url=}}</ref><ref name="pmid4020540">{{cite journal |vauthors=Wasserman RL, Ginsburg CM |title=Caustic substance injuries |journal=J. Pediatr. |volume=107 |issue=2 |pages=169–74 |year=1985 |pmid=4020540 |doi= |url=}}</ref><ref name="pmid7713784">{{cite journal |vauthors=Coia LR, Myerson RJ, Tepper JE |title=Late effects of radiation therapy on the gastrointestinal tract |journal=Int. J. Radiat. Oncol. Biol. Phys. |volume=31 |issue=5 |pages=1213–36 |year=1995 |pmid=7713784 |doi=10.1016/0360-3016(94)00419-L |url=}}</ref><ref name="pmid16550258">{{cite journal| author=Khanna N| title=How do I dilate a benign esophageal stricture? | journal=Can J Gastroenterol | year= 2006 | volume= 20 | issue= 3 | pages= 153-5 | pmid=16550258 | doi= | pmc=2582967 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16550258 }}</ref><ref name="pmid12853664">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref><ref name="RuigómezAlberto García Rodríguez2006">{{cite journal|last1=Ruigómez|first1=Ana|last2=Alberto García Rodríguez|first2=Luis|last3=Wallander|first3=Mari-Ann|last4=Johansson|first4=Saga|last5=Eklund|first5=Stefan|title=Esophageal Stricture: Incidence, Treatment Patterns, and Recurrence Rate|journal=The American Journal of Gastroenterology|volume=101|issue=12|year=2006|pages=2685–2692|issn=0002-9270|doi=10.1111/j.1572-0241.2006.00828.x}}</ref> | ||
*Difficulty in [[swallowing]] | *Difficulty in [[swallowing]] | ||
*Pain in [[swallowing]] | *Pain in [[swallowing]] | ||
| Line 26: | Line 26: | ||
*[[Gastrointestinal bleeding]] | *[[Gastrointestinal bleeding]] | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
Common symptoms of | Common symptoms of esophageal stricture include:<ref name="pmid26828759">{{cite journal |vauthors=Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML |title=Natural history and management of refractory benign esophageal strictures |journal=Gastrointest. Endosc. |volume=84 |issue=2 |pages=222–8 |year=2016 |pmid=26828759 |doi=10.1016/j.gie.2016.01.053 |url=}}</ref><ref name="pmid18250638">{{cite journal |vauthors=Siersema PD |title=Treatment options for esophageal strictures |journal=Nat Clin Pract Gastroenterol Hepatol |volume=5 |issue=3 |pages=142–52 |year=2008 |pmid=18250638 |doi=10.1038/ncpgasthep1053 |url=}}</ref><ref name="pmid128536642">{{cite journal |vauthors=Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I |title=Radiologic diagnosis of benign esophageal strictures: a pattern approach |journal=Radiographics |volume=23 |issue=4 |pages=897–909 |year=2003 |pmid=12853664 |doi=10.1148/rg.234025717 |url=}}</ref> | ||
*[[Dysphagia]] <ref name="pmid7032643">{{cite journal |vauthors=Earlam R, Cunha-Melo JR |title=Benign oesophageal strictures: historical and technical aspects of dilatation |journal=Br J Surg |volume=68 |issue=12 |pages=829–36 |year=1981 |pmid=7032643 |doi= |url=}}</ref> | *[[Dysphagia]] <ref name="pmid7032643">{{cite journal |vauthors=Earlam R, Cunha-Melo JR |title=Benign oesophageal strictures: historical and technical aspects of dilatation |journal=Br J Surg |volume=68 |issue=12 |pages=829–36 |year=1981 |pmid=7032643 |doi= |url=}}</ref> | ||
** [[Benign]] and [[malignant]] | ** [[Benign]] and [[malignant]] stricture<nowiki/>s can be differentiated based on duration of [[dysphagia]] | ||
** Long-standing, intermittent, nonprogressive [[dysphagia]] in [[benign]] [[stricture]]<nowiki/>s | ** Long-standing, intermittent, nonprogressive [[dysphagia]] in [[benign]] [[stricture]]<nowiki/>s | ||
** [[Weight loss|Weight los]]<nowiki/>s, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] [[stricture]] | ** [[Weight loss|Weight los]]<nowiki/>s, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] [[stricture]] | ||
| Line 62: | Line 62: | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of | Less common symptoms of esophageal stricture can be related to [[aspiration pneumonia]] and include<ref name="pmid26828759" /> | ||
*Chronic [[cough]] | *Chronic [[cough]] | ||
*[[Wheezing]] | *[[Wheezing]] | ||
Revision as of 19:49, 22 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]
Overview
The hallmark of esophageal stricture is dysphagia . A positive history of heartburn is suggestive of esophageal stricture. The most common symptoms of esophageal stricture include dysphagia, odynophagia, and heartburn. Less common symptoms of esophageal stricture include chronic cough and wheezing.
History and Symptoms
The hallmark of esophageal stricture is dysphagia. Various history findings and symptoms associated with esophageal stricture are discussed bellow.
History
Patients with esophageal stricture due to different causes may have a positive history of:[1][2][3][4][5][6][7]
- Difficulty in swallowing
- Pain in swallowing
- Heartburn
- Caustic ingestion
- Radiation therapy
- Esophageal cancer
- Allergy history in eosinophilic esophagitis
- Bullous skin eruptions in epidermolysis bullosa dystrophica
- Hoarse voice
- Hematemesis
- Regurgitation of food
- Anemia
- Anorexia
- Gastrointestinal bleeding
Common Symptoms
Common symptoms of esophageal stricture include:[8][9][10]
| Grade | Manifestations |
| I | Able to eat everything but with difficulty |
| II | Dysphagia to solids |
| III | Dysphagia to semi-solids |
| IV | Dysphagia to liquids |
| IV | Complete dysphagia |
- Odynophagia
- Weight loss
- Cough while swallowing
- Heartburn
- Stomach or chest pain
- Acid taste in the mouth
- Drooling
- Trouble speaking
Less Common Symptoms
Less common symptoms of esophageal stricture can be related to aspiration pneumonia and include[8]
- Chronic cough
- Wheezing
- Shortness of breath
- Asthma due to aspiration of acids
References
- ↑ Csendes A, Braghetto I (1992). "Surgical management of esophageal strictures". Hepatogastroenterology. 39 (6): 502–10. PMID 1483661.
- ↑ Marks RD, Richter JE (1993). "Peptic strictures of the esophagus". Am. J. Gastroenterol. 88 (8): 1160–73. PMID 8338082.
- ↑ Wasserman RL, Ginsburg CM (1985). "Caustic substance injuries". J. Pediatr. 107 (2): 169–74. PMID 4020540.
- ↑ Coia LR, Myerson RJ, Tepper JE (1995). "Late effects of radiation therapy on the gastrointestinal tract". Int. J. Radiat. Oncol. Biol. Phys. 31 (5): 1213–36. doi:10.1016/0360-3016(94)00419-L. PMID 7713784.
- ↑ Khanna N (2006). "How do I dilate a benign esophageal stricture?". Can J Gastroenterol. 20 (3): 153–5. PMC 2582967. PMID 16550258.
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Ruigómez, Ana; Alberto García Rodríguez, Luis; Wallander, Mari-Ann; Johansson, Saga; Eklund, Stefan (2006). "Esophageal Stricture: Incidence, Treatment Patterns, and Recurrence Rate". The American Journal of Gastroenterology. 101 (12): 2685–2692. doi:10.1111/j.1572-0241.2006.00828.x. ISSN 0002-9270.
- ↑ 8.0 8.1 Repici A, Small AJ, Mendelson A, Jovani M, Correale L, Hassan C, Ridola L, Anderloni A, Ferrara EC, Kochman ML (2016). "Natural history and management of refractory benign esophageal strictures". Gastrointest. Endosc. 84 (2): 222–8. doi:10.1016/j.gie.2016.01.053. PMID 26828759.
- ↑ Siersema PD (2008). "Treatment options for esophageal strictures". Nat Clin Pract Gastroenterol Hepatol. 5 (3): 142–52. doi:10.1038/ncpgasthep1053. PMID 18250638.
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Earlam R, Cunha-Melo JR (1981). "Benign oesophageal strictures: historical and technical aspects of dilatation". Br J Surg. 68 (12): 829–36. PMID 7032643.