Dilation (stretching) of the esophagus is the main treatment for acid reflux related strictures. You may need to have this treatment repeated after a period of time to prevent the stricture from narrowing again.
Proton pump inhibitors (acid-blocking medicines) can keep a peptic stricture from returning. Surgery is rarely needed.
If you have eosinophilic esophagitis, you may need to take medicines or make changes to your diet to reduce the inflammation. In some cases, dilation is done.
The stricture may come back in the future. This would require a repeat dilation.
Swallowing problems may keep you from getting enough fluids and nutrients. Solid food, especially meat, can get stuck above the stricture. If this happens, endoscopy would be needed to remove the lodged food.
There is also a higher risk of having food, fluid, or vomit enter the lungs with regurgitation. This can cause choking or aspiration pneumonia.
When to Contact a Medical Professional
Call your health care provider if you have swallowing problems that do not go away.
Use safety measures to avoid swallowing substances that can harm your esophagus. Keep dangerous chemicals out of the reach of children. See your doctor if you have GERD.
Ginsberg GG, Pfau PR. Foreign bodies, bezoards, and caustic ingestions. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger & Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 25.
Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.