EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (Virtual Only) | January 2023-Esophaeal Strictures and Management

Video Transcription

Video Summary

The video discusses the management of esophageal strictures. The speaker emphasizes the importance of characterizing the stricture before choosing the appropriate management approach. Factors such as the location, inflammation presence, and whether the stricture is simple or complex need to be considered. The speaker suggests that medical treatment can be pursued before performing dilation, and that acid suppression therapy should be used for certain types of strictures. Two main types of dilators, wire-guided polyvinyl dilators, and balloon dilators, are discussed, and their advantages and suitability for different types of strictures are explained. The rule of three, which limits the number of dilation sessions to three, is mentioned but not evidence-based. The speaker also discusses the use of steroid injections for refractory strictures. The video concludes by presenting a case study and providing important take-home points, including the need for characterization of strictures and the use of dilation in conjunction with medical therapy.

Keywords

esophageal strictures

management

characterization

dilation

medical therapy