Esophageal stricture causes
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]
Overview
Common causes of esophageal stricture include gastroesophageal reflux disease and caustic ingestions.
Causes
Life-threatening Causes
- Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. There are no life-threatening causes of esophageal stricture, however complications resulting from untreated esophageal stricture is common.
Common Causes
Esophageal stricture may be caused by:[1]
- Gastroesophageal reflux disease[2]
- Caustic ingestions[3]
- Radiation therapy for thoracic or head and neck tumors[4]
- Esophageal cancer
- Congenital causes such as rings and webs[5]
- Nasogastric intubation[6]
Less Common Causes
Less common causes of esophageal stricture include:
- Dyskeratosis congenita (DC)[9]
- Rare dermatologic diseases (eg, epidermolysis bullosa dystrophica)[10]
- Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis[11]
- Drug-induced stricture:[12]
- Aspirin and anti-inflammatory medications[13]
- Tetracycline
- Doxycycline
- Clindamycin
- Bisphosphonates
- Potassium chloride
- Quinidine preparations
- Iron compounds
- Emepronium
- Alprenolol
- Pinaverium
- Tracheoesophageal fistula repair and esophageal stricture at the anastomosis[15]
- Esophageal diverticula[16]
- Increased level of gastric acid exposure to esophageal tissue, for example:
Causes by Organ System
| Cardiovascular | No underlying causes |
| Chemical/Poisoning | Caustic ingestion |
| Dental | No underlying causes |
| Dermatologic | Dyskeratosis congenita (DC), epidermolysis bullosa dystrophica |
| Drug Side Effect | Drug-induced stricture:[12]
|
| Ear Nose Throat | No underlying causes |
| Endocrine | Zollinger-Ellison syndrome, |
| Environmental | No underlying causes |
| Gastroenterologic | Gastroesophageal reflux disease, Eosinophilic esophagitis, Esophageal diverticula, Zollinger-Ellison syndrome, Systemic sclerosis |
| Genetic | No underlying causes |
| Hematologic | No underlying causes |
| Iatrogenic | Previous surgery on the esophagus, Radiation therapy for thoracic or head and neck tumors, Esophageal sclerotherapy,Tracheoesophageal fistula repair, Nasogastric tube placement, Heller myotomy for achalasia |
| Infectious Disease | Infectious esophagitis
|
| Musculoskeletal/Orthopedic | No underlying causes |
| Neurologic | No underlying causes |
| Nutritional/Metabolic | No underlying causes |
| Obstetric/Gynecologic | No underlying causes |
| Oncologic | No underlying causes |
| Ophthalmologic | No underlying causes |
| Overdose/Toxicity | No underlying causes |
| Psychiatric | No underlying causes |
| Pulmonary | Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis |
| Renal/Electrolyte | No underlying causes |
| Rheumatology/Immunology/Allergy | Systemic sclerosis |
| Sexual | No underlying causes |
| Trauma | No underlying causes |
| Urologic | No underlying causes |
| Miscellaneous | No underlying causes |
Causes in Alphabetical Order
List the causes of the disease in alphabetical order.
- Caustic ingestions
- Drug-induced stricture
- Dyskeratosis congenita (DC)
- Eosinophilic esophagitis
- Esophageal diverticula
- Esophageal sclerotherapy
- Gastroesophageal reflux disease
- Increased level of gastric acid exposure to esophageal tissue
- Infectious esophagitis
- Mediastinal fibrosis due to tuberculosis or idiopathic fibrosing mediastinitis
- Nasogastric intubation
- Radiation therapy for thoracic or head and neck tumors
- Rare dermatologic diseases (eg, epidermolysis bullosa dystrophica)
- Tracheoesophageal fistula repair and esophageal stricture at the anastomosis
References
- ↑ Csendes A, Braghetto I (1992). "Surgical management of esophageal strictures". Hepatogastroenterology. 39 (6): 502–10. PMID 1483661.
- ↑ Marks RD, Richter JE (1993). "Peptic strictures of the esophagus". Am. J. Gastroenterol. 88 (8): 1160–73. PMID 8338082.
- ↑ Wasserman RL, Ginsburg CM (1985). "Caustic substance injuries". J. Pediatr. 107 (2): 169–74. PMID 4020540.
- ↑ Coia LR, Myerson RJ, Tepper JE (1995). "Late effects of radiation therapy on the gastrointestinal tract". Int. J. Radiat. Oncol. Biol. Phys. 31 (5): 1213–36. doi:10.1016/0360-3016(94)00419-L. PMID 7713784.
- ↑ Khanna N (2006). "How do I dilate a benign esophageal stricture?". Can J Gastroenterol. 20 (3): 153–5. PMC 2582967. PMID 16550258.
- ↑ Luedtke P, Levine MS, Rubesin SE, Weinstein DS, Laufer I (2003). "Radiologic diagnosis of benign esophageal strictures: a pattern approach". Radiographics. 23 (4): 897–909. doi:10.1148/rg.234025717. PMID 12853664.
- ↑ Guynn TP, Eckhauser FE, Knol JA, Raper SE, Mulholland MW, Nostrant TT, Elta GH, Barnett JL (1991). "Injection sclerotherapy-induced esophageal strictures. Risk factors and prognosis". Am Surg. 57 (9): 567–71, discussion 571–2. PMID 1928999.
- ↑ Furuta, Glenn T.; Ingelfinger, Julie R.; Katzka, David A. (2015). "Eosinophilic Esophagitis". New England Journal of Medicine. 373 (17): 1640–1648. doi:10.1056/NEJMra1502863. ISSN 0028-4793.
- ↑ Jonassaint NL, Guo N, Califano JA, Montgomery EA, Armanios M (2013). "The gastrointestinal manifestations of telomere-mediated disease". Aging Cell. 12 (2): 319–23. doi:10.1111/acel.12041. PMC 3602337. PMID 23279657.
- ↑ Guerra-Leal JD, Meester I, Cantu-Gonzalez JR, Ornelas-Cortinas G, Montemayor-Martinez A, Salas-Alanis JC (2016). "The Importance of Esophagography in Patients With Recessive Dystrophic Epidermolysis Bullosa". AJR Am J Roentgenol: 1–4. doi:10.2214/AJR.16.16115. PMID 27384758.
- ↑ Goenka MK, Gupta NM, Kochhar R, Rungta U, Vaiphei K, Nagi B, Suri S (1995). "Mediastinal fibrosis: an unusual cause of esophageal stricture". J. Clin. Gastroenterol. 20 (4): 331–3. PMID 7665827.
- ↑ 12.0 12.1 Bonavina L, DeMeester TR, McChesney L, Schwizer W, Albertucci M, Bailey RT (1987). "Drug-induced esophageal strictures". Ann Surg. 206 (2): 173–83. PMC 1493104. PMID 3606243.
- ↑ 13.0 13.1 Kikendall JW, Friedman AC, Oyewole MA, Fleischer D, Johnson LF (1983). "Pill-induced esophageal injury. Case reports and review of the medical literature". Dig. Dis. Sci. 28 (2): 174–82. PMID 6825537.
- ↑ Wilcox CM (2013). "Overview of infectious esophagitis". Gastroenterol Hepatol (N Y). 9 (8): 517–9. PMC 3980995. PMID 24719600.
- ↑ Lakoma A, Fallon SC, Mathur S, Kim ES (2013). "Use of Mitomycin C for Refractory Esophageal Stricture following Tracheoesophageal Fistula Repair". European J Pediatr Surg Rep. 1 (1): 24–6. doi:10.1055/s-0033-1341418. PMC 4335951. PMID 25755944.
- ↑ Smith, C. Daniel (2015). "Esophageal Strictures and Diverticula". Surgical Clinics of North America. 95 (3): 669–681. doi:10.1016/j.suc.2015.02.017. ISSN 0039-6109.
- ↑ Ebert, Ellen C. (2008). "Esophageal disease in progressive systemic sclerosis". Current Treatment Options in Gastroenterology. 11 (1): 64–69. doi:10.1007/s11938-008-0008-8. ISSN 1092-8472.
- ↑ 18.0 18.1 Luedtke, Pia; Levine, Marc S.; Rubesin, Stephen E.; Weinstein, Donald S.; Laufer, Igor (2003). "Radiologic Diagnosis of Benign Esophageal Strictures: A Pattern Approach". RadioGraphics. 23 (4): 897–909. doi:10.1148/rg.234025717. ISSN 0271-5333.
- ↑ Ferguson MK (1991). "Achalasia: current evaluation and therapy". Ann. Thorac. Surg. 52 (2): 336–42. PMID 1863166.