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Bariatric Surgery | Gastric Bypass Surgery | Gastric Banding | Obesity | After Surgery

Facing the Risks of Esophageal Stricture

Esophageal Stricture is the narrowing of the esophagus, a condition that may result after bariatric procedures, although there are other known causes such as oesophageal cancer, systemic sclerosis, epidermolysis bullosa acquisita, oesophagitis, stomach cancer and epidermolysis bullosa dystrophica, besides esophageal stricture gastric banding.

The esophagus can also be narrowed by the abuse of certain substances and compounds. Iron compounds, ascorbic acid, doxycycline, quinidine, tetracycline, and cromolyn sodium are the most common. Esophageal stricture may occur from underlying conditions which including throat scalding, GERD, esophageal injury, cardiospasm, peptic ulcer disease, esophagus cancer and even esophageal scar tissue.

However, esophageal stricture gastric banding is a complication that occurs gradually narrowing the esophagus and leading to swallowing difficulties. The problem is usually caused by scar tissue that builds up in the esophagus after the procedure.

Scarring is developed when the lining of the esophagus is damaged, its lining is stiff, and the scar tissue continues building up, causing swallowing difficulties over time. Esophageal stricture gastric banding is more likely to occur when the patient has been suffering from gastroesophageal reflux disease.

Because excessive acid is refluxed from the stomach up into the esophagus and causing inflammation in the lower part of the esophagus, scarring is the result of the repeated inflammatory injury and healing process, followed by new re-injury and re-healing issues before esophageal stricture gastric banding actually occurs.

Damaged scar tissue takes the form of a ring in the opening of the esophagus, thus promoting esophageal stricture. Gastric banding generates the reconstruction of the digestive tract but cannot modify the esophagus or any other organ by itself.

Esophageal stricture gastric banding problems may lead to chronic esophagitis if not attended, Although this condition may already exist when the patients suffers from gastroesophageal reflux disease, due to permanent or transient changes in the barrier between the esophagus and the stomach.

Esophagus obstructive disorders include lower esophageal ring (Schatzki's Ring), dysphagia lusoria and esophageal web, also known as Sideropenic Dysphagia, Plummer-Vinson or Paterson-Kelly Syndrome. Although gastric banding procedures may be reversed in order to get the stomach to return to its real size, esophageal stricture is not reversible but treatable.

In the United States , 97 million individual are obese or overweight, gastroesophageal reflux affects approximately 40% of adults, and esophageal strictures are estimated to occur between 7% and 23% of untreated patients with reflux disease, regardless esophageal stricture gastric banding or other types of esophageal obstruction.

Mortality risks are only increased when the stricture is malignant or the related procedure has produced a severe perforation.

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