Esophageal Stricture

Esophageal stricture is narrowing of the esophagus that can make swallowing difficult, especially of solid foods. The most common cause is acid reflux. Most cases can be effectively dilated.

Quick Facts

  • ICD-10: K22.2
  • Common cause: GERD

Symptoms

  • Progressive difficulty swallowing (solids first, then liquids)
  • Food sticking in the chest
  • Weight loss
  • Regurgitation
  • Heartburn (if reflux-related)

Causes

  • GERD with chronic inflammation
  • Eosinophilic esophagitis
  • Radiation therapy
  • Caustic ingestion
  • Surgical complications
  • Esophageal cancer (must be ruled out)

Treatment

  • Endoscopic dilation (balloon or bougie)
  • Acid-suppressing medications
  • Treatment of underlying eosinophilic esophagitis
  • Stenting for refractory or malignant strictures

When to See a Doctor

Any persistent or progressive difficulty swallowing, especially with weight loss, warrants prompt endoscopic evaluation.

Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • American College of Gastroenterology. Dysphagia Resources.