ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Session 2 Video Case Discussion 3

Session 2 Video Case Discussion 3 - Esophageal Stricture

Video Transcription

Video Summary

The video transcript discusses a case of an 84-year-old patient with esophageal dysphagia and recurrent esophageal strictures. The patient had previously undergone multiple balloon dilations without relief of symptoms. The endoscopic examination reveals a long stricture with pseudo-diverticula and sparing of the GE junction, indicating lichen planus. Refractory strictures, which are difficult to control, are discussed, and the importance of maintaining adequate intervals between dilations is emphasized. The use of savory dilation is recommended due to the length of the stricture. The histology does not confirm lichen planus, but other diagnostic methods, such as direct immunofluorescence, are suggestive. The importance of controlling inflammation, in addition to dilation, is emphasized.

Asset Subtitle

Vani Konda, MD

Keywords

esophageal dysphagia

recurrent esophageal strictures

lichen planus

refractory strictures

savory dilation