What are the treatments for esophageal stricture?

Treating esophageal stenosis is very important, but if you want to achieve the best treatment effect, you must pay attention to choosing the correct treatment method. Surgical treatment is now a relatively widespread and effective method, and if necessary, part of the esophagus must be removed.

(1) Esophageal dilation Esophageal dilation is an effective treatment method. In recent years, balloon dilation has replaced rigid dilation strips. Suitable for the treatment of patients with thinner membranous webs.

(2) Membranous web resection: If the membranous web is thick and tough and dilation is ineffective, the esophagus can be cut open, the circular mucosa can be removed, and the esophageal mucosa can be approximated and anastomosed. There are also reports of successful endoscopic resection of congenital esophageal webs. Continue dilation after surgery if necessary.

(3) Partial esophagectomy Partial esophagectomy can be performed for congenital esophageal stenosis and fibromuscular hypertrophic stenosis secondary to remnants of tracheal and bronchial tissue. If the stenosis is less than 3 cm, the esophagus can be anastomosed end to end after the stenosis is removed. During the operation, care should be taken to protect the vagus nerve and peripapical nerve. For congenital esophageal stenosis caused by long segment fiber muscle hypertrophy, esophageal replacement surgery can be performed if dilation is ineffective. If the stenosis is close to the gastroesophageal junction, segmental resection followed by esophageal anastomosis and anti-reflux surgery may be recommended; the latter commonly used methods include modified Hill gastric wall fixation and Nissen fundoplication to prevent reflux. Collis gastroplasty has also been reported to be an effective treatment for esophageal shortening and postoperative gastroesophageal reflux.