ASGE Masterclass: Barrett’s Esophagus, GERD and Esophageal Adenocarcinoma (On Demand) | February 2022-Treating Strictures: Tricks of the Trade: Approach to refractory esophageal strictures

Video Transcription

Video Summary

The video transcript discusses various types of esophageal strictures, their management, and treatment options. The first case presented is a 50-year-old male with a history of intermittent solid food dysphagia and is diagnosed with a Schatzki's ring. Treatment options for Schatzki's ring include balloon or bougie dilation, and the use of proton pump inhibitors after dilation has been shown to reduce the rate of recurrence. The second case is a 50-year-old male with frequent heartburn and regurgitation who develops dysphagia and is diagnosed with peptic stricture. The management approach for peptic stricture includes aggressive control of acid reflux with proton pump inhibitors and safe dilation to provide immediate relief of symptoms. The third case involves a 30-year-old male with intermittent solid food dysphagia and a history of eosinophilic esophagitis (EoE). The treatment for EoE includes drugs like proton pump inhibitors and swallow topical steroids, diet therapy, and dilation. The video highlights the safety and effectiveness of dilation in EoE, with caution for mucosal friability. The fourth case is a 65-year-old male with severe COPD and a history of coronary artery bypass grafting. He develops dysphagia and is diagnosed with a Barrett's esophagus-associated stricture with high-grade dysplasia. The management includes wide endoscopic mucosal resection followed by dilation, prophylactic steroid injection, and fully coated self-expanding metal stents. The video also mentions the use of stents in malignant strictures and various endoscopic options for complex strictures. Finally, the video discusses the technique of self-dilation for refractory benign esophageal strictures as a safe and effective treatment option. Overall, the video provides insights into the management and treatment options for different types of esophageal strictures. No credits are mentioned in the video transcript.

Keywords

esophageal strictures

management

treatment options

dilation

proton pump inhibitors

endoscopic options

self-dilation