AGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus

doi:10.1016/S0016-5085(99)70573-1

Gastroenterology

Volume 117, Issue 1, July 1999, Pages 233-254

https://doi.org/10.1016/S0016-5085(99)70573-1 Get rights and content

Abstract

This literature review and the recommendations therein were prepared for the American Gastroenterological Association Clinical Practice and Practice Economics Committee. The paper was approved by the committee on September 27, 1998.

GASTROENTEROLOGY 1999;117:233-254

Section snippets

History

It has been estimated that the cause of dysphagia can be determined with an accuracy of approximately 80% on the basis of a careful history alone.² Some key elements of the history for patients with dysphagia are highlighted below.

Benign esophageal strictures

In most cases, benign strictures of the esophagus are presumed to develop as sequelae of deep esophageal ulcerations that stimulate fibrous tissue production and collagen deposition.³⁸ However, the precise mechanisms that lead to stricture formation are not known, and it is conceivable that some strictures develop as a result of chronic esophageal inflammation even without mucosal ulceration. It has been estimated that 60%–70% of all benign esophageal strictures in the United States are peptic

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^☆: Address requests for reprints to: Chair, Clinical Practice and Practice Economics Committee, AGA National Office, c/o Membership Department, 7910 Woodmont Avenue, 7th Floor, Bethesda, Maryland 20814. Fax: (301) 654-5920.

^☆☆: The Clinical Practice and Practice Economics committee acknowledges the following individuals, whose critiques of the review paper provided valuable guidance to the author: David Fleischer, M.D., Richard Kozarek, M.D., Robert Fisher, M.D., and Ann Ouyang, M.D.

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American Gastroenterological AssociationAGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus☆,☆☆

Abstract

Section snippets

History

Benign esophageal strictures

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastroenterology

Gastrointest Endosc Clin North Am

Gastrointest Endosc

Mayo Clin Proc

Gastrointest Endosc

Gastrointest Endosc

Gastrointest Endosc

Gastroenterology

Gastrointest Endosc

Gastrointest Endosc

Gastrointest Endosc

Gastrointest Endosc

Gastrointest Endosc

Ann Thorac Surg

Gastrointest Endosc

Ann Thorac Surg

J Thorac Cardiovasc Surg

Ann Thorac Surg

Gastrointest Endosc

Gastrointest Endosc

Gastroenterology

Muscle anatomy of the human esophagus

J Clin Gastroenterol

Evaluation of dysphagia: a careful history is crucial

Dysphagia

Gastrointestinal manifestations of progressive systemic scleroderma based on a review of 364 cases

Am J Gastroenterol

Gastrointestinal manifestations of progressive systemic sclerosis

Am J Gastroenterol

History and symptoms of esophageal disease

Lower esophageal mucosal ring: correlation of referred symptoms with radiographic findings using a marshmallow bolus

AJR

Localization of an obstructing esophageal lesion. Is the patient accurate?

Dig Dis Sci

Heartburn in patients with achalasia

Gut

Barrett's esophagus

N Engl J Med

Pill-induced esophageal injury

A new probable increasing cause of esophageal ulceration: alendronate

Am J Gastroenterol

Esophageal motility disorders in the rheumatic diseases: a review of 150 patients

Clin Exp Rheumatol

Esophageal hypomotility in primary and secondary Raynaud's phenomenon: comparison of esophageal scintigraphy with manometry

J Nucl Med

Abnormalities of esophageal and gastric emptying in progressive systemic sclerosis

Gastroenterology

Oesophageal symptoms, their causes, treatment, and prognosis in patients with the acquired immunodeficiency syndrome

Gut

Candidiasis-induced esophageal strictures

Gastrointest Radiol

Dental erosions and acid reflux disease

Ann Intern Med

Radiographic and endoscopic sensitivity in detecting lower esophageal mucosal ring

AJR

Radiologic detection and spectrum of appearances of peptic esophageal strictures

J Clin Gastroenterol

American Gastroenterological Association
AGA technical review on treatment of patients with dysphagia caused by benign disorders of the distal esophagus☆,☆☆