ASGE Esophagology: Tailoring Management from Testing to Treatment (Live and Virtual) | July 2022-Top Tricks for Managing Esophageal Strictures

Video Transcription

Video Summary

In this video, Prateek Sharma from the University of Kansas School of Medicine discusses complex esophageal strictures. He emphasizes the importance of understanding the etiology of the stricture before treating it. He suggests assessing the length, diameter, location, and complexity of the stricture before deciding on a treatment approach. He discusses the use of techniques such as endoscopy, barium studies, and fluoroscopy to evaluate and treat strictures. He also compares the use of bougie dilators and balloon dilators, noting that there is insufficient evidence to suggest that one is better than the other. Sharma also discusses the use of steroids and stents for refractory strictures. He highlights the importance of discussing the risks and complications with patients before proceeding with stent placement. Sharma concludes by providing an algorithm for the management of complex esophageal strictures, including regular dilation, steroids, stent placement, Maloney's tube, and surgery as a last resort.

Asset Subtitle

Prateek Sharma

Keywords

complex esophageal strictures

etiology

treatment approach

endoscopy

stents

algorithm