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===Prognosis===
===Prognosis===
*[[Prognosis]] is generally good and depends on the cause of esophageal stricture. More than 80-90 % of esophageal stricture<nowiki/>s respond well to [[Endoscopy|endoscopic]] [[dilation]] but one third of patients have recurrent symptoms after one year.<ref name=":1" /><ref name="pmid25647687">{{cite journal |vauthors=van Boeckel PG, Siersema PD |title=Refractory esophageal strictures: what to do when dilation fails |journal=Curr Treat Options Gastroenterol |volume=13 |issue=1 |pages=47–58 |year=2015 |pmid=25647687 |pmc=4328110 |doi=10.1007/s11938-014-0043-6 |url=}}</ref>  
*[[Prognosis]] is generally good and depends on the cause of esophageal stricture. More than 80-90% of esophageal stricture<nowiki/>s respond well to [[Endoscopy|endoscopic]] [[dilation]] but one third of patients have recurrent symptoms after one year.<ref name=":1" /><ref name="pmid25647687">{{cite journal |vauthors=van Boeckel PG, Siersema PD |title=Refractory esophageal strictures: what to do when dilation fails |journal=Curr Treat Options Gastroenterol |volume=13 |issue=1 |pages=47–58 |year=2015 |pmid=25647687 |pmc=4328110 |doi=10.1007/s11938-014-0043-6 |url=}}</ref>  
*[[Weight loss]] is associated with poor [[prognosis]] among patients with esophageal stricture.<ref name="pmid24876933">{{cite journal |vauthors=Berry MF |title=Esophageal cancer: staging system and guidelines for staging and treatment |journal=J Thorac Dis |volume=6 Suppl 3 |issue= |pages=S289–97 |year=2014 |pmid=24876933 |pmc=4037413 |doi=10.3978/j.issn.2072-1439.2014.03.11 |url=}}</ref>
*[[Weight loss]] is associated with poor [[prognosis]] among patients with esophageal stricture.<ref name="pmid24876933">{{cite journal |vauthors=Berry MF |title=Esophageal cancer: staging system and guidelines for staging and treatment |journal=J Thorac Dis |volume=6 Suppl 3 |issue= |pages=S289–97 |year=2014 |pmid=24876933 |pmc=4037413 |doi=10.3978/j.issn.2072-1439.2014.03.11 |url=}}</ref>
*Progressive [[gastroesophageal reflux]] may lead to extended esophageal stricture which prevent [[gastric acid]] to flow back in the [[esophagus]]. Loss of previous [[heartburn]] is related to more esophageal stricture.<ref name=":0" />
*Progressive [[gastroesophageal reflux]] may lead to extended esophageal stricture which prevent [[gastric acid]] to flow back in the [[esophagus]]. Loss of previous [[heartburn]] is related to more esophageal stricture.<ref name=":0" />

Revision as of 16:00, 6 December 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

If left untreated, patients with esophageal stricture may progress to develop pulmonary aspiration, weight loss, and dehydration. Common complications of esophageal stricture include perforation, bleeding, pneumonia, bacteremia. Prognosis is generally good but recurrence of symptoms after dilation are prevalent and usually recurrent dilation is necessary.

Natural History, Complications, and Prognosis

Natural History

Complications

Prognosis

References

  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.
  2. 2.0 2.1 Lundell, M.D., Ph.D., Lars. "Reflux esophagitis and peptic strictures". GI Motility online.
  3. Hwang JJ (2017). "Safe and Proper Management of Esophageal Stricture Using Endoscopic Esophageal Dilation". Clin Endosc. 50 (4): 309–310. doi:10.5946/ce.2017.100. PMC 5565041. PMID 28783923.
  4. 4.0 4.1 van Boeckel PG, Siersema PD (2015). "Refractory esophageal strictures: what to do when dilation fails". Curr Treat Options Gastroenterol. 13 (1): 47–58. doi:10.1007/s11938-014-0043-6. PMC 4328110. PMID 25647687.
  5. Liu SY, Xiao P, Li TX, Cao HC, Mao AW, Jiang HS, Cao GS, Liu J, Wang YD, Zhang XS (2016). "Predictor of massive bleeding following stent placement for malignant oesophageal stricture/fistulae: a multicentre study". Clin Radiol. 71 (5): 471–5. doi:10.1016/j.crad.2016.02.001. PMID 26944699.
  6. van Boeckel PG, Siersema PD (2015). "Refractory esophageal strictures: what to do when dilation fails". Curr Treat Options Gastroenterol. 13 (1): 47–58. doi:10.1007/s11938-014-0043-6. PMC 4328110. PMID 25647687.
  7. Berry MF (2014). "Esophageal cancer: staging system and guidelines for staging and treatment". J Thorac Dis. 6 Suppl 3: S289–97. doi:10.3978/j.issn.2072-1439.2014.03.11. PMC 4037413. PMID 24876933.

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