A 50-year-old woman with a recurrent oesophageal stricture
- Resource Type
- Authors
- John N. Gordon; Tahir Akbar; Adnan M. al Badri
- Source
- Gut. 65(4)
- Subject
- medicine.medical_specialty
medicine.drug_class
Biopsy
Proton-pump inhibitor
Malignancy
Diagnosis, Differential
03 medical and health sciences
0302 clinical medicine
Oesophageal stricture
Recurrence
Gastroscopy
otorhinolaryngologic diseases
Medicine
Humans
Medical history
Hernia
medicine.diagnostic_test
business.industry
Gastroenterology
Lichen Planus
Middle Aged
medicine.disease
Dysphagia
digestive system diseases
Surgery
030220 oncology & carcinogenesis
Esophageal Stenosis
030211 gastroenterology & hepatology
Female
medicine.symptom
Differential diagnosis
business
Deglutition Disorders
- Language
- ISSN
- 1468-3288
A 50-year-old woman presented with a 4-month history of progressive dysphagia and associated weight loss. Her medical history was unremarkable, and she was not taking any medication. Gastroscopy revealed a tight impassable stricture at 30 cm (figure 1A) confirmed on barium swallow (figure 1B). Biopsies from the stricture were reported as consistent with reflux oesophagitis with no evidence of malignancy. The stricture was dilated revealing a short segment of normal distal oesophagus above a small hiatus hernia. She was started on a high-dose proton pump inhibitor. She re-presented 3 months later with recurrent dysphagia and …