EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (On-demand) | January 2023-Dayna Early

Dayna Early_Diagnostic Approach to Strictures

Pdf Summary

This document outlines the diagnostic approach to esophageal strictures. The different types of strictures are listed, including erosive esophagitis, peptic, rings or webs, eosinophilic esophagitis, radiation-induced, malignant, caustic ingestion, and post-surgical/anastomotic. The diagnostic approach involves evaluating the patient's history, including the presence of heartburn and other symptoms such as food impaction, prior surgery or radiation, and "warning signs" like weight loss or hematemesis. <br /><br />The document discusses the different imaging modalities that can be used, including non-invasive imaging for subtle findings like rings or webs, and endoscopy for diagnosis and management in the same setting. Two patient stories are provided to illustrate the diagnostic approach. One is an 80-year-old female who experienced choking and vomiting after a dinner, and the other is a 39-year-old with intermittent dysphagia. <br /><br />The document concludes with some take-home points, emphasizing the importance of symptom characteristics and history in diagnosing esophageal strictures. It also highlights the importance of imaging with radiography and/or endoscopy, with endoscopy being the preferred method for diagnosis and treatment in one session.

Keywords

diagnostic approach

esophageal strictures

erosive esophagitis

peptic

rings or webs

eosinophilic esophagitis

radiation-induced

malignant

caustic ingestion

post-surgical/anastomotic