Stricture related to an inlet patch of the esophagus.
A 64-yr-old female was referred for evaluation of dysphagia. An esophagram showed a stricture in the proximal esophagus. On esophagogastroduodenoscopy, the patient was found to have a 3-cm stricture beginning at 14 cm from the incisors. This was initially dilated to 45-French with the Savary-Gilliard dilators. Biopsies and cytology of the stricture showed benign columnar epithelium. Subsequent dilations over the next 2 months resulted in dilation to 60-French with the esophageal dilators. Ulcerations related to this strictured area were healed over this period, with a sucralfate slurry, and the area of abnormality after healing appeared to be that of an esophageal inlet patch.
Yarborough
C S
CS
Gastroenterology Associates, P.A., Greenville, South Carolina.
McLane
R C
RC
D001706:Biopsy; D004106:Dilatation; D016145:Endoscopy, Digestive System; D004940:Esophageal Stenosis / Q000209:etiology / Q000473:pathology* / Q000628:therapy; D004947:Esophagus / Q000473:pathology*; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D006801:Humans; D008875:Middle Aged