Advanced Practice Provider EoE Program (Live/Virtual) | October 2025-Highway to the Danger Zone: How APPs Navigate the Narrow Lanes of Esophageal Stricture

Highway to the Danger Zone: How APPs Navigate the Narrow Lanes of Esophageal Stricture

Video Transcription

Video Summary

Sarah Ensland, a physician assistant at University of Rochester Medical Center, discusses managing esophageal strictures in eosinophilic esophagitis (EOE) through a detailed case study. A 36-year-old male with repeated food impactions is diagnosed with EOE via endoscopy and biopsies revealing esophageal strictures. Treatment includes proton pump inhibitors and topical steroids, followed by endoscopic dilation when strictures persist despite therapy. Ensland emphasizes the importance of combining medical management with dilation for fibrosis and strictures, gradual dilation to a target diameter of 16-18 mm, and educating patients on risks like chest pain or perforation. She highlights the need for ongoing monitoring with periodic endoscopy and maintaining histologic remission to prevent stricture recurrence. Managing EOE requires multidisciplinary collaboration and recognizing it as a chronic condition necessitating long-term follow-up to optimize patient quality of life and prevent complications.

Asset Subtitle

Sarah Enslin, PA-C

Keywords

eosinophilic esophagitis

esophageal strictures

proton pump inhibitors

topical steroids

endoscopic dilation

multidisciplinary management