Esophageal Strictures: The Daily PANCE Blueprint
Which of the following is the first-line treatment for most esophageal strictures?
A. Endoscopic dilation
B. Muscle relaxers
C. Steroid injections
D. Stent placement
E. Mitomycin C
Answer and topic summary
The answer is A. Endoscopic dilation
Endoscopic dilation is the first-line treatment for most esophageal strictures due to its high efficacy and favorable safety profile. This procedure involves the mechanical expansion of the narrowed esophageal lumen using various dilators (balloon, bougie, or Savary dilators). The success rate exceeds 80-90% in benign strictures, though multiple sessions may be required depending on stricture etiology. This approach directly addresses the mechanical obstruction while being less invasive than surgical alternatives. Refractory strictures (those requiring >3-5 dilations or inability to maintain a 14mm lumen) may require additional therapeutic approaches.
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Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒ ⇒
