Esophageal Stricture Due To Gastroesophageal Reflux

Extensive and coalescing ulceration. The ulcers are long and extend well above of the esophagogastric junction. The video clip displays some bilis as a reflux. A hiatal hernia is displayed, a mid-stricture is observed. Peptic strictures are sequelae of gastroesophageal reflux–induced esophagitis, and they usually originate from the squamocolumnar junction and average 1-4 cm in length. Peptic strictures have a reported incidence of up to 15% in patients with reflux disease. Strictures develop as a result of Longstanding gastroesophageal reflux and chronic, deep inflammation (extending into the submucosa) with fibrosis and scarring. They are found in the region of the gastroesophageal junction. Most strictures are short, but some may extend for several centimeters in the distal esophagus. The earliest change is usually a thickening of the Z-line, followed by concentric luminal narrowing that may later become eccentric and may be associatedwith a diverticulum-like outpouching of the esophagus proximal to the stricture.