Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It

Abdulzahra Hussain; Tahir Chohan; Ali Adnan; Shamsi El-Hasani; Maxwell Asante

doi:doi:10.11648/j.js.20130102.13

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Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It

Abdulzahra Hussain, Tahir Chohan, Ali Adnan, Shamsi El-Hasani, Maxwell Asante

Published in Journal of Surgery (Volume 1, Issue 2)

Received: 6 May 2013 Published: 10 June 2013

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Abstract

Objectives: GORD is associated with benign oesophageal stricture. Endoscopic management of which is safe, effective and commonly applied. The aim of this study is to assess the causes of benign oesophageal stricture,the outcome of endoscopic management and to explore the literatures on ways of preventions. Patients and Methods: Data from our endoscopy unit was reviewed using unisoft software. Seventy -one patients who have been diagnosed with oesophageal strictures during March 2006-January 2012,were selected for this study. Twelve oesophageal cancers, 4 patients with achalasia and 6 patients with anastomotic stricture were excluded. The data was collected from case notes of the remaining forty-nine patients. Results: Forty-nine patients were diagnosed with symptomatic benign stricture due to reflux disease and inflammation (47 and 2 patients respectively). The age range was 38-92 (mean 59), 17(34.7%) women and 32(65.3%) men were included. 42(85.71%) patients underwent dilatation, of which 88.7% had 1-4 dilatations (mean of 2 dilatations). The remaining 14.28% (6 patients) had very tight strictures and each had 5-7 dilatations. One (2.04%) patient had anti-reflux surgery. Six (12.24%) patients were treated conservatively using proton pump inhibitors and they didn’t need dilatation. There were 34 patients developed minor morbidities such as chest pain (11%); minor bleeding (15) and nausea (3%),no oesophageal perforation or other major complications were reported. Conclusions: Endoscopic dilatation for benign oesophageal stricture is a safe and an effective procedure. Follow up of younger patients are necessary to achieve satisfactory symptomatic relief and to prevent advanced and severe stricture developing at a later age.

Published in	Journal of Surgery (Volume 1, Issue 2)
DOI	10.11648/j.js.20130102.13
Page(s)	18-21
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Oesophageal Stricture, Benign Oesophageal Stricture, Dilatation, Gastro-Oesophageal Reflux Disease

References

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APA Style

Abdulzahra Hussain, Tahir Chohan, Ali Adnan, Shamsi El-Hasani, Maxwell Asante. (2013). Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. Journal of Surgery, 1(2), 18-21. https://doi.org/10.11648/j.js.20130102.13

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ACS Style

Abdulzahra Hussain; Tahir Chohan; Ali Adnan; Shamsi El-Hasani; Maxwell Asante. Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. J. Surg. 2013, 1(2), 18-21. doi: 10.11648/j.js.20130102.13

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AMA Style

Abdulzahra Hussain, Tahir Chohan, Ali Adnan, Shamsi El-Hasani, Maxwell Asante. Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. J Surg. 2013;1(2):18-21. doi: 10.11648/j.js.20130102.13

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@article{10.11648/j.js.20130102.13,
  author = {Abdulzahra Hussain and Tahir Chohan and Ali Adnan and Shamsi El-Hasani and Maxwell Asante},
  title = {Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {18-21},
  doi = {10.11648/j.js.20130102.13},
  url = {https://doi.org/10.11648/j.js.20130102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.13},
  abstract = {Objectives: GORD is associated with benign oesophageal stricture. Endoscopic management of which is safe, effective and commonly applied. The aim of this study is to assess the causes of benign oesophageal stricture,the outcome of endoscopic management and to explore the literatures on ways of preventions. Patients and Methods: Data from our endoscopy unit was reviewed using unisoft software. Seventy -one patients who have been diagnosed with oesophageal strictures during March 2006-January 2012,were selected for this study. Twelve oesophageal cancers, 4 patients with achalasia and 6 patients with anastomotic stricture were excluded. The data was collected from case notes of the remaining forty-nine patients. Results: Forty-nine patients were diagnosed with symptomatic benign stricture due to reflux disease and inflammation (47 and 2 patients respectively). The age range was 38-92 (mean 59), 17(34.7%) women and 32(65.3%) men were included. 42(85.71%) patients underwent dilatation, of which 88.7% had 1-4 dilatations (mean of 2 dilatations). The remaining 14.28% (6 patients) had very tight strictures and each had 5-7 dilatations. One (2.04%) patient had anti-reflux surgery. Six (12.24%) patients were treated conservatively using proton pump inhibitors and they didn’t need dilatation. There were 34 patients developed minor morbidities such as chest pain (11%); minor bleeding (15) and nausea (3%),no oesophageal perforation or other major complications were reported. Conclusions: Endoscopic dilatation for benign oesophageal stricture is a safe and an effective procedure. Follow up of younger patients are necessary to achieve satisfactory symptomatic relief and to prevent advanced and severe stricture developing at a later age.},
 year = {2013}
}

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TY - JOUR
T1 - Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It
AU - Abdulzahra Hussain
AU - Tahir Chohan
AU - Ali Adnan
AU - Shamsi El-Hasani
AU - Maxwell Asante
Y1 - 2013/06/10
PY - 2013
N1 - https://doi.org/10.11648/j.js.20130102.13
DO - 10.11648/j.js.20130102.13
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 18
EP - 21
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20130102.13
AB - Objectives: GORD is associated with benign oesophageal stricture. Endoscopic management of which is safe, effective and commonly applied. The aim of this study is to assess the causes of benign oesophageal stricture,the outcome of endoscopic management and to explore the literatures on ways of preventions. Patients and Methods: Data from our endoscopy unit was reviewed using unisoft software. Seventy -one patients who have been diagnosed with oesophageal strictures during March 2006-January 2012,were selected for this study. Twelve oesophageal cancers, 4 patients with achalasia and 6 patients with anastomotic stricture were excluded. The data was collected from case notes of the remaining forty-nine patients. Results: Forty-nine patients were diagnosed with symptomatic benign stricture due to reflux disease and inflammation (47 and 2 patients respectively). The age range was 38-92 (mean 59), 17(34.7%) women and 32(65.3%) men were included. 42(85.71%) patients underwent dilatation, of which 88.7% had 1-4 dilatations (mean of 2 dilatations). The remaining 14.28% (6 patients) had very tight strictures and each had 5-7 dilatations. One (2.04%) patient had anti-reflux surgery. Six (12.24%) patients were treated conservatively using proton pump inhibitors and they didn’t need dilatation. There were 34 patients developed minor morbidities such as chest pain (11%); minor bleeding (15) and nausea (3%),no oesophageal perforation or other major complications were reported. Conclusions: Endoscopic dilatation for benign oesophageal stricture is a safe and an effective procedure. Follow up of younger patients are necessary to achieve satisfactory symptomatic relief and to prevent advanced and severe stricture developing at a later age.
VL - 1
IS - 2
ER -

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Author Information

Abdulzahra Hussain

Upper GI Unit, General surgery department
Tahir Chohan

Upper GI Unit, General surgery department
Ali Adnan

Otolarngology, Head and neck department.Sahlgrenska university hospitalGr?na str?ket 9.413 45 Gothenburg.Sweden
Shamsi El-Hasani

Upper GI Unit, General surgery department
Maxwell Asante

Gastroenterology unit, Department of medicine, Princess Royal University Hospital.Orpington, Greater London, BR6 8ND

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APA Style

Abdulzahra Hussain, Tahir Chohan, Ali Adnan, Shamsi El-Hasani, Maxwell Asante. (2013). Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. Journal of Surgery, 1(2), 18-21. https://doi.org/10.11648/j.js.20130102.13

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ACS Style

Abdulzahra Hussain; Tahir Chohan; Ali Adnan; Shamsi El-Hasani; Maxwell Asante. Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. J. Surg. 2013, 1(2), 18-21. doi: 10.11648/j.js.20130102.13

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AMA Style

Abdulzahra Hussain, Tahir Chohan, Ali Adnan, Shamsi El-Hasani, Maxwell Asante. Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It. J Surg. 2013;1(2):18-21. doi: 10.11648/j.js.20130102.13

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@article{10.11648/j.js.20130102.13,
  author = {Abdulzahra Hussain and Tahir Chohan and Ali Adnan and Shamsi El-Hasani and Maxwell Asante},
  title = {Association of Gastro-Oesophageal Reflux Disease with Oesophageal Stricture: What can be Done to Prevent It},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {18-21},
  doi = {10.11648/j.js.20130102.13},
  url = {https://doi.org/10.11648/j.js.20130102.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.13},
  abstract = {Objectives: GORD is associated with benign oesophageal stricture. Endoscopic management of which is safe, effective and commonly applied. The aim of this study is to assess the causes of benign oesophageal stricture,the outcome of endoscopic management and to explore the literatures on ways of preventions. Patients and Methods: Data from our endoscopy unit was reviewed using unisoft software. Seventy -one patients who have been diagnosed with oesophageal strictures during March 2006-January 2012,were selected for this study. Twelve oesophageal cancers, 4 patients with achalasia and 6 patients with anastomotic stricture were excluded. The data was collected from case notes of the remaining forty-nine patients. Results: Forty-nine patients were diagnosed with symptomatic benign stricture due to reflux disease and inflammation (47 and 2 patients respectively). The age range was 38-92 (mean 59), 17(34.7%) women and 32(65.3%) men were included. 42(85.71%) patients underwent dilatation, of which 88.7% had 1-4 dilatations (mean of 2 dilatations). The remaining 14.28% (6 patients) had very tight strictures and each had 5-7 dilatations. One (2.04%) patient had anti-reflux surgery. Six (12.24%) patients were treated conservatively using proton pump inhibitors and they didn’t need dilatation. There were 34 patients developed minor morbidities such as chest pain (11%); minor bleeding (15) and nausea (3%),no oesophageal perforation or other major complications were reported. Conclusions: Endoscopic dilatation for benign oesophageal stricture is a safe and an effective procedure. Follow up of younger patients are necessary to achieve satisfactory symptomatic relief and to prevent advanced and severe stricture developing at a later age.},
 year = {2013}
}

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