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Acquired and Congenital Esophageal Stricture Management in the Aerodigestive Patient

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Pediatric Aerodigestive Medicine

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Abstract

Esophageal stricture refers to the abnormal narrowing of the esophageal lumen associated with clinical symptoms such as dysphagia. In the context of aerodigestive disorders, there are many causes of esophageal stricture, including anastomotic stricture after EA/TEF repair, congenital esophageal stenosis, eosinophilic esophagitis, and gastroesophageal reflux disease. Regardless of etiology, stricture management must be prompt and aggressive to restore luminal patency. Treatment consists mainly of dilation but may require surgical management in certain situations. New technological advancements in endoscopic therapy have shown promising results with significant improvement in stricture management, and a decrease in recurrence rates, and complications.

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Abbreviations

AS:

Anastomotic stricture

CES:

Congenital esophageal stenosis

EA:

Esophageal atresia

EE:

Eosinophilic esophagitis

FMS:

Fibromuscular stenosis

MC:

Mitomycin-C

MS:

Membranous stenosis

PPI:

Proton pump inhibitors

TBR:

Tracheo-bronchial remnants

TEF:

Trachea-esophageal fistula

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Author information

Authors and Affiliations

  1. Division of Pediatric Gastroenterology, Esophageal Atresia Clinic, CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada

    Thea von Graffenried & Christophe Faure

  2. Department of Paediatric Gastroenterology, Sydney Children’s Hospital, Sydney, NSW, Australia

    Usha Krishnan

  3. School of Women’s and Children’s Health, University of New South Wales, Sydney, NSW, Australia

    Usha Krishnan

  4. Esophagus Development and Engineering Lab, CHU Sainte-Justine Research Centre, Université de Montréal, Montréal, QC, Canada

    Christophe Faure

Authors
  1. Thea von Graffenried
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  2. Usha Krishnan
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  3. Christophe Faure
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Corresponding author

Correspondence to Christophe Faure .

Editor information

Editors and Affiliations

  1. Harvard University, Boston, MA, USA

    Rachel Rosen

  2. University of Cincinnati, Cincinnati, USA

    Michael Rutter

  3. Mayo Clinic, Rochester, MN, USA

    Paul Boesch

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von Graffenried, T., Krishnan, U., Faure, C. (2024). Acquired and Congenital Esophageal Stricture Management in the Aerodigestive Patient. In: Rosen, R., Rutter, M., Boesch, P. (eds) Pediatric Aerodigestive Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-86354-8_22-1

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  • DOI: https://doi.org/10.1007/978-3-030-86354-8_22-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-86354-8

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