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Esophageal stricture
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Esophageal stricture

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Contributors: Michael W. Winter MD, Christine Osborne MD, Desiree Rivera-Nieves MD, Khaled Bittar MD, Nishant H. Patel MD
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Synopsis

Esophageal stricture is a broad term referring to a narrowing of the esophageal lumen. The stricture can be caused by a number of different etiologies: inflammation (long-standing esophagitis), radiation therapy, benign or malignant mass lesions (internal or external compression), caustic ingestions, and others.

Esophageal strictures most commonly present as dysphagia, more typically to solids but also can occur to liquids, which can progressively worsen. Additional symptoms include heartburn, odynophagia, acute or chronic food impactions, chest pain (referred), and weight loss if oral intake is compromised.

Etiology of esophageal strictures can be organized into benign causes (rings, webs, radiation-related injury, strictures at anastomoses, secondary to caustic injury) or malignant causes (esophageal cancer being the most common). It is uncommon for esophageal strictures to be asymptomatic, but depending on the underlying etiology, they can be rapidly progressive or have an insidious onset.

Codes

ICD10CM:
K22.2 – Esophageal obstruction

SNOMEDCT:
63305008 –  Stricture of esophagus

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Reviewed: 11/08/2016
Last Updated: 11/08/2016
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Esophageal stricture
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Esophageal stricture : Vomiting, Weight loss, Dysphagia
Copyright © 2019 VisualDx®. All rights reserved.