Congenital esophageal stenosis in adults

David A Katzka, Marc S. Levine, Gregory G. Ginsberg, Riyadh Hammod, Philip O. Katz, Erik K. Insko, Edward C. Raffensperger, David C. Metz

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

OBJECTIVE: Congenital esophageal stenosis is thought to be a rare disease confined to infancy and childhood with only a few case reports in adults described. METHODS: We report five patients between the ages of 19 and 46 yr who presented with this disorder over a 2-yr period. RESULTS: Patients had been labeled with reflux strictures, webs, or as idiopathic in the past. All patients had chronic solid food dysphagia, some since early childhood. The location of the stricture varied, occurring in the mid or proximal esophagus in four, but throughout the esophagus in one. Radiographic and endoscopic appearance was a smooth concentric stricture or multiple rings, sometimes tracheal in appearance. Endosonography was performed in two patients, both of whom had focal circumferential hypoechoic wall thickening with disruption of the normal layer pattern corresponding to the areas of luminal narrowing. All patients dilated had good symptomatic response, with resolution of symptoms up to 6 months in follow-up. CONCLUSIONS: We suggest that congenital esophageal stenosis does occur in adults and may be underrecognized. Its endosonographic appearance is described.

Original languageEnglish (US)
Pages (from-to)32-36
Number of pages5
JournalAmerican Journal of Gastroenterology
Volume95
Issue number1
DOIs
StatePublished - Jan 2000
Externally publishedYes

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Esophageal Stenosis
Pathologic Constriction
Esophagus
Endosonography
Deglutition Disorders
Rare Diseases
Food

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Katzka, D. A., Levine, M. S., Ginsberg, G. G., Hammod, R., Katz, P. O., Insko, E. K., ... Metz, D. C. (2000). Congenital esophageal stenosis in adults. American Journal of Gastroenterology, 95(1), 32-36. https://doi.org/10.1016/S0002-9270(99)00727-3

Congenital esophageal stenosis in adults. / Katzka, David A; Levine, Marc S.; Ginsberg, Gregory G.; Hammod, Riyadh; Katz, Philip O.; Insko, Erik K.; Raffensperger, Edward C.; Metz, David C.

In: American Journal of Gastroenterology, Vol. 95, No. 1, 01.2000, p. 32-36.

Research output: Contribution to journalArticle

Katzka, DA, Levine, MS, Ginsberg, GG, Hammod, R, Katz, PO, Insko, EK, Raffensperger, EC & Metz, DC 2000, 'Congenital esophageal stenosis in adults', American Journal of Gastroenterology, vol. 95, no. 1, pp. 32-36. https://doi.org/10.1016/S0002-9270(99)00727-3
Katzka DA, Levine MS, Ginsberg GG, Hammod R, Katz PO, Insko EK et al. Congenital esophageal stenosis in adults. American Journal of Gastroenterology. 2000 Jan;95(1):32-36. https://doi.org/10.1016/S0002-9270(99)00727-3
Katzka, David A ; Levine, Marc S. ; Ginsberg, Gregory G. ; Hammod, Riyadh ; Katz, Philip O. ; Insko, Erik K. ; Raffensperger, Edward C. ; Metz, David C. / Congenital esophageal stenosis in adults. In: American Journal of Gastroenterology. 2000 ; Vol. 95, No. 1. pp. 32-36.
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