Esophageal stricture history and symptoms: Difference between revisions
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**The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures. | ** The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures. | ||
**Long-standing, intermittent, nonprogressive dysphagia in [[benign]] strictures | **Long-standing, intermittent, nonprogressive dysphagia in [[benign]] strictures | ||
**Weight loss, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] stricture | **Weight loss, rapidly progressive [[Dysphagia|dysphagi<nowiki/>a]] in [[malignant]] stricture | ||
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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 even to liquids |
| IV | Absolute dysphagia |
- The duration of dysphagia is a most clinical finding for differentiating benign from malignant strictures.
- 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]
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.