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ASGE Annual Postgraduate Course at DDW: UPPER GI O ...
Managing Esophageal Strictures, Leaks and Fistula: ...
Managing Esophageal Strictures, Leaks and Fistula: Endoscopic Plumbing
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Video Transcription
Video Summary
The speaker discusses the management of esophageal strictures, referring to two major categories: simple and complex strictures. Simple strictures are short, straight, and can be easily treated with dilation therapy. Complex strictures are longer and more severe, requiring multiple sessions of dilation. Refractory strictures are a subset of esophageal strictures that do not respond to treatment. Dilation is the mainstay of therapy for strictures, with both bougie and balloon dilators being equally effective. Steroids can be injected as adjunct therapy. Incisional therapy and esophageal stents are other treatment options, but have lower success rates. The speaker also discusses the management of esophageal fistulas and leaks, emphasizing the importance of early recognition and treatment.
Keywords
esophageal strictures
dilation therapy
refractory strictures
esophageal fistulas
early recognition
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