Endoscopic Management of Benign Esophageal Strictures:

Aims Benign esophageal strictures are a rare condition. Endoscopic dilation remains the gold standard. The purpose of our study is to report our experience in the management of benign esophageal strictures.

Methods This is a retrospective study including patients diagnosed with benign esophageal strictures in our gastroenterology between January 2014 and December 2019.

Results Forty four patients were included With a mean age of 51 years (12-88 years). Dysphagia was the main symptom. An upper endoscopy was performed in all patients showing an impassable stenosis in 59 % of cases . The site of the stenosis was in the upper third of the esophagus in 16 patients (36,3 %), in the middle third in 21 patients (47,7 %) and in the lower third in 7 patients (16 %).The stenosis was short in the majority of cases (77 %). The etiology of the stenosis was peptic in 20 patients (45,4 %), caustic in 4 patients (9 %), Post-radiation stenosis in 1 patients (2 %), post-anastomotic stenosis in 9 patients (20,4 %) and Plummer-Vinson syndrome in 9 patients (20,4 %). The dilation was performed by savary-gilliard dilators in 84 % of cases, by hydrostatic balloon in 9 % and by the endoscope in 7 % of cases. No immediate complications were reported. A single session was sufficient in 25 patients (56.8 %). More than two sessions were necessary in 22,7 % of patients. The majority of patients reported clinical amelioration (59 %). Recurrence was noted in 32 % of cases. The mean time to recurrence was 22.56 months (2 to 60). Refractory stenosis was noted in 9 % of cases. A metal oesophageal stent was performed in a patient with refractory stenosis.

Conclusions Peptic strictures are the most common causes of benign esophageal strictures. The instrumental dilation of benign esophageal strictures in adults is a simple, effective and safe method.

Citation: Bradai S, Khsiba A, Mahmoudi M et al. eP60ENDOSCOPIC MANAGEMENT OF BENIGN ESOPHAGEAL STRICTURES. Endoscopy 2021; 53: S116.

Publication History

Article published online:
19 March 2021