Acquired and Congenital Esophageal Stricture Management in the Aerodigestive Patient

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.