ASGE Esophagology: Tailoring Management from Testing to Treatment (On-Demand) | 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 explains the importance of determining the etiology of the stricture before starting dilation and highlights that complex strictures may require additional therapy beyond simple dilation. Sharma discusses various tools and techniques that can be used to assess and treat strictures, including endoscopy, barium studies, and small caliber endoscopes. He also compares the use of bougie dilators and balloon dilators, noting that there is insufficient evidence to suggest one is better than the other. Sharma emphasizes the importance of setting appropriate targets for dilation and avoiding complications. He discusses steroid injections as a potential treatment for refractory strictures and the use of fully covered metal stents for severe cases. Sharma concludes by providing tips for specific types of strictures, such as anastomotic strictures and eosinophilic esophagitis strictures, and provides an algorithm for the treatment of complex esophageal strictures.

Asset Subtitle

Dr. Prateek Sharma

Keywords

esophageal strictures

etiology

dilation

tools and techniques

bougie dilators

balloon dilators