Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 16: Bougienage, Balloon Dilation, Cautery Cutting, Stenting, And Steroid Injection Have All Been Described To Treat Benign Strictures Of The Gi Tract. Is There A Right Way Of Doing This? (continued)

Jeffrey L. Conklin, MD, FACP

When faced with a symptomatic esophageal stricture, the first thing to do is determine its etiology, if possible. Is it benign or malignant? If benign, is it peptic, a manifestation of eosinophilic esophagitis, from caustic injury, or the result of some therapeutic intervention (eg, radiation injury, surgical anastomosis, or the result of an ablative therapy)? The treatment approach is likely to vary somewhat depending on these factors. Benign strictures are further classified according to their physical characteristics. Strictures that are short, symmetrical, and allow easy passage of a…