EGD Masterclass: EoE, Strictures, and Pre-malignant Gastric Conditions (Virtual Only) | January 2023-Session 1 Case Study Question and Answer

Video Transcription

Video Summary

In this video, a case of an 84-year-old patient with type 2 diabetes and esophageal dysphagia is presented. The patient has undergone multiple endoscopies with dilations but has not experienced relief of symptoms. The endoscopic photos show a stricture in the esophagus, and the panelists discuss the possible causes, including inflammatory conditions such as lymphocytic or eosinophilic esophagitis, as well as lichen planus. They also discuss the role of high-dose proton pump inhibitors (PPIs) in managing the stricture. The panelists recommend more frequent dilations and steroid injections to manage the refractory stricture. They also discuss the possibility of using an esophageal stent or self-dilation as treatment options. The panelists highlight the importance of monitoring the patient's progress and repeating biopsies to make an accurate diagnosis. The video concludes with a discussion on post-dilation care, including the use of PPIs and dietary modifications.

Keywords

esophageal stricture

inflammatory conditions

proton pump inhibitors

refractory stricture

diagnosis

post-dilation care