Dilation of Difficult Benign Esophageal Strictures

A large experience with management of a variety of esophageal strictures has taught me that all strictures are not created equal! My observations suggested the need to classify strictures as a guide to therapy. Technique, equipment, and goal for diameter of lumen restoration were altered to suit the etiology and pathology of the stricture. I determine the goal for dilation by using the patient’s dietary habits and nutritional needs as factors in the treatment plan. The plan for difficult esophageal strictures should not be simply scheduling the dilation.