EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (Virtual Only) | January 2023-Diagnostic Approach to Strictures

Video Transcription

Video Summary

Dr. Dana Earley, a professor of medicine and Medical Director of Endoscopy at Washington University in St. Louis, discusses the diagnostic approach and management of esophageal strictures. The most common types of esophageal strictures include erosive esophagitis and peptic strictures due to gastroesophageal reflux disease (GERD), eosinophilic esophagitis, inflammation-induced strictures, malignant strictures, caustic injections, and post-surgical or anastomotic strictures. History taking is crucial in narrowing down the cause of dysphagia and possible stricture, with a focus on symptoms like heartburn, progressive dysphagia, food impaction, and prior surgeries or radiation treatments. Diagnostic evaluations for esophageal strictures include barium esophagram and endoscopy. Barium esophagram can help identify esophageal rings and provide a map of the esophagus, whereas endoscopy allows for direct visualization, biopsy, and dilation. Dr. Earley describes several case studies and highlights the importance of history, imaging, and endoscopy in diagnosing and managing esophageal strictures. Overall, endoscopy is the preferred method for both diagnosis and treatment. (495 words)

Keywords

esophageal strictures

diagnostic approach

management

endoscopy

barium esophagram