Therapeutic Endoscopy for Strictures of the Upper Digestive Tract (DV046)-Therapeutic Endoscopy for Strictures of the Upper Digestive Tract

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Video Summary

Esophageal strictures can be caused by various factors such as reflux esophagitis, Schatzky's rings, esophageal cancer, and surgery. Endoscopic treatment options include dilation therapy, stent therapy, and incisional therapy. The primary goal of esophageal dilatation is symptom relief and to allow for oral nutrition. Endoscopic treatment should be individualized based on the patient's condition. Prophylactic antibiotics are generally not recommended for infectious endocarditis prevention following dilatation. Bougie, Savary-Gilliard, and through-the-scope balloon dilators are commonly used. Different types of endoscopic modalities like needle knife, Isotone, and microwave coagulation therapy can be used for incisional therapy. Patients should be closely monitored post-procedure for complications such as bleeding, perforation, and aspiration. Treatment also varies for gastric outlet obstruction with options including endoscopic balloon dilation, and gastroduodenal stent placement. Self-expandable metallic stents are commonly used for palliation of gastric outlet obstruction. Complications such as bleeding, migration, and perforation should be closely monitored and managed accordingly. In conclusion, endoscopic treatments are effective options for managing esophageal strictures and gastric outlet obstructions, each with its own benefits and potential complications that need to be carefully considered.

Keywords

Esophageal strictures

Dilation therapy

Stent therapy

Incisional therapy

Oral nutrition

Endoscopic modalities

Complications

Gastric outlet obstruction

Endoscopic balloon dilation

Stent placement

Self-expandable metallic stents