Esophageal Stricture Due To Reflux Esophagitis - Close-Up

The patient was managed with PPI during three months. Patient did not get improving of his symptoms needing to perform a esophageal dilation. Treatment usually involves dilation combined with acid -suppressive therapy. Consequently, these expanded capabilities have led endoscopists into widespread dilation therapy for a variety of stenoses, despite the absence of data or contradictory studies regarding the risks and benefi ts of dilation compared with more conventional therapy such as surgery. Similarly, as pharmacological and radiation therapies evolve, it is unclear whether dilation provides a desirable alternative or adjuvant to these treatments. For example, stenoses with deep ulcerations caused by Crohn’s disease, which would have historically necessitated surgery, are increasingly being dilated by endoscopists. Whether these dilations may be made more successful, or even obviated, by new immunomodulatory treatments for inflammatory bowel disease (IBD) remains unknown.