Peptic strictures of the esophagus

Peptic esophageal strictures occur in the context of inadequately treated g astroesophageal reflux, especially in elderly patients. Studies show more p ronounced abnormalities of esophageal function resulting in an increased nu mber of prolonged reflux episodes. The diagnosis is best made by a combinat ion of barium esophagram and endoscopy. Patients usually require esophageal dilation to relieve dysphagia followed by adequate medical therapy. Proton pump inhibitors are effective for preventing the recurrence of strictures after dilation. In young patients and patients with strictures that are dif ficult to dilate or need frequent dilations, surgery may be required; howev er, results can be disappointing.