Esophageal stricture caused by reflux esophagitis requiring subtotal esophagectomy: a case report

Matsumoto, Akira; Omura, Nobuo; Ishibashi, Yoshio; Suzuki, Yutaka; Nakada, Koji; Kashiwagi, Hideyuki; Yanaga, Katsuhiko

doi:10.1007/s10388-007-0133-9

Cited by 8 publications

(6 citation statements)

References 18 publications

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“…First line of management for esophageal stricture is acid suppression therapy using proton pump inhibitors or histamine antagonists. 4 Alternative conservative management is dilation procedure using push or balloon dilators. Push dilators can be either weighted or wire guided.…”

Section: Discussionmentioning

confidence: 99%

“…Subtotal esophagectomy is a more invasive procedure reserved for treatment for severe peptic strictures or strictures with malignancy potential. 4 …”

Section: Discussionmentioning

confidence: 99%

“…A known complication of GERD is short esophageal strictures, under 2 cm, that can be managed with acid sup-pression therapy or endoscopic dilation. 4 5 Herein, we report a 27-year-old diabetic who developed a 6 cm peptic stricture from GERD. She underwent partial esophagectomy.…”

Section: Introductionmentioning

confidence: 97%

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Long Esophageal Stricture in a Brittle Diabetic

Darr

Alastal

Yoon

2017

Euroasian Journal of Hepato-Gastroenterology

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Aim:We report a case of atypical esophageal stricture in a young diabetic woman.Background:Diabetes mellitus and gastroesophageal reflux disease (GERD) are two common disorders in modern society.Case report:A young diabetic woman developed a 6-cm-long esophageal stricture. This stricture was refractory to multiple esophageal dilation procedures. She underwent subtotal esophagectomy and had excellent treatment outcome.Conclusion:Gastroesophageal reflux disease can cause severe long esophageal stricture in a brittle diabetic.Clinical significance:Improving the awareness of their association between diabetes and GERD would greatly benefit the day-to-day practice of medicine.How to cite this article: Pak SC, Darr U, Alastal Y, Yoon Y. Long Esophageal Stricture in a Brittle Diabetic. Euroasian J Hepato-Gastroenterol 2017;7(2):191-192.

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Section: Discussionmentioning

confidence: 99%

“…Subtotal esophagectomy is a more invasive procedure reserved for treatment for severe peptic strictures or strictures with malignancy potential. 4 …”

Section: Discussionmentioning

confidence: 99%

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Long Esophageal Stricture in a Brittle Diabetic

Darr

Alastal

Yoon

2017

Euroasian Journal of Hepato-Gastroenterology

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“…Higuchi et al [ 22 ] reported that 91.4% of reflux-induced esophageal ulcers were located in the lower esophagus. Moreover, most of the esophageal strictures caused by reflux esophagitis develop at the lower end of the esophagus [ 23 ] and were short segments [ 24 ]. Our results showed that reflux-induced strictures were located in the lower esophagus, with a mean distance of 33.9 ± 3.5 cm from the incisors.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic antireflux surgery or PPIs in the management of reflux-related esophageal stricture

Kong

Zhang

et al. 2022

Surg Endosc

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Background Gastroesophageal reflux disease (GERD) is often associated with esophageal stricture, particularly benign esophageal stricture. We aimed to evaluate the effects of balloon catheter dilation (BD) combined with laparoscopic fundoplication (LF) surgery and proton pump inhibitors (PPIs) in patients with reflux-induced esophageal strictures. Methods We retrospectively analyzed 116 patients with reflux-induced benign esophageal strictures who underwent balloon dilatation therapy combined with PPIs (BD-PPIs group, n = 58) and balloon dilatation combined with LF (BD-LF group, n = 58). Patients were followed up for 24 months. The outcomes of the patients were monitored, including clinical success, symptom improvement, adverse events, and the frequency of esophagitis. Results At the latest follow-up, the rate of clinical success was higher in BD-LF group than in BD-PPIs group (80.4% vs. 57.7%, P = 0.011). The patients in the BD-PPIs group required more dilation sessions to achieve successful dilation, as compared to those in the BD-LF group (2.1 ± 1.2 vs. 0.7 ± 0.8, P < 0.001). The DeMeester score, number of reflux episodes for which pH was < 4, and lower esophageal sphincter pressure were significantly better in the BD-LF group than in the BD-PPIs group (all P < 0.001). The incidence of reflux esophagitis was higher in the BD-PPIs group than in the BD-LF group, at 24 months (58.8% vs. 18.2%, P = 0.003). Conclusions Balloon dilatation with concomitant LF is effective and safe for esophageal stricture secondary to GERD. Moreover, antireflux surgery techniques, such as Nissen or Toupet procedure, should be added for reflux-induced benign esophageal stricture.

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“…Many esophageal strictures are malignant, and benign esophageal strictures are not common. Most of benign esophageal strictures caused by gastroesophageal reflux are short segments and can be treated by an endoscopic dilatation [ 1 ], but cases of long-segment stenosis requiring an esophagectomy are rare. Here, we report a case of long-segment stenosis associated with reflux esophagitis and long-term nasogastric tube placement.…”

Section: Introductionmentioning

confidence: 99%

Long peptic strictures of the esophagus due to reflux esophagitis: a case report

et al. 2016

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BackgroundMost of benign esophageal strictures caused by gastroesophageal reflux are short segments and can be treated by an endoscopic dilatation, but cases of long-segment stenosis requiring an esophagectomy are rare.Case presentationA 62-year-old woman had undergone emergency surgery for a giant ovarian tumor rupture at another hospital. A duodenal perforation occurred after surgery but improved with conservative treatment. She had undergone long-term nasogastric tube placement for 4 months because she was on a mechanical ventilator and did not receive proton pump inhibitors (PPIs). Thereafter, the patient experienced dysphagia. An esophagogastroduodenoscopy (EGD) revealed circumferential reflux esophagitis (grade D) and a stricture located 25 to 40 cm from the incisor teeth. She received medical treatment with fasting and PPIs. The second EGD revealed that the reflux esophagitis had improved somewhat, but that the esophageal stricture had worsened. Thereafter, balloon dilatation was attempted, but the stricture did not improve and she was referred to our hospital. Finally, she was diagnosed as having a benign esophageal stricture caused by reflux esophagitis. She underwent a thoracoscopic esophagectomy with gastric tube reconstruction through the antethoracic route. Her postoperative course was uneventful. Pathologically, a circumferential stricture with white scar formation and no malignant cells were observed.ConclusionsWe experienced a rare case requiring esophagectomy for long-segment stenosis caused by reflux esophagitis. It is suggested that the possibility of esophageal stricture needs to be kept in mind when treating GERD patients with long-term nasogastric tube placement.

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Esophageal stricture caused by reflux esophagitis requiring subtotal esophagectomy: a case report

Cited by 8 publications

References 18 publications

Long Esophageal Stricture in a Brittle Diabetic

Long Esophageal Stricture in a Brittle Diabetic

Laparoscopic antireflux surgery or PPIs in the management of reflux-related esophageal stricture

Long peptic strictures of the esophagus due to reflux esophagitis: a case report

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