Bougienage is effective therapy for most benign esophageal strictures

JAMA. 1978 Sep 1;240(9):844-7.


Esophageal stricture is the most frequent serious complication of reflux esophagitis. Bougienage was used as the primary therapy of benign esophageal stricture in 92 patients, followed by institution of a medical antireflux program. Response to treatment was excellent, and 78% of patients required two or fewer subsequent dilations. Twenty patients were followed up for two years or longer, and 75% did not require more than one dilation annually. Primary therapy for most patients with peptic stenosis of the esophagus is recommended to be dilation; operative therapy should be reserved for those patients in whom a malignant neoplasm is suspected or those in whom frequent and rapid stricture recurrence makes medical therapy impractical.

MeSH terms

  • Adult
  • Aged
  • Deglutition Disorders / etiology
  • Dilatation*
  • Esophageal Stenosis / etiology
  • Esophageal Stenosis / therapy*
  • Esophagitis, Peptic / complications
  • Esophagitis, Peptic / prevention & control
  • Esophagus
  • Evaluation Studies as Topic
  • Female
  • Follow-Up Studies
  • Heartburn / etiology
  • Humans
  • Male
  • Methods
  • Middle Aged