Treatment of Esophageal Stricture in Esophageal Lichen Planus with Proximal and Mid-Esophageal Stricturing
Esophageal lichen planus (ELP) is a chronic inflammatory disorder that can produce progressive stricturing in the proximal and mid-esophagus, causing significant dysphagia and requiring targeted intervention.
Clinical Scenario
ELP is a mucocutaneous chronic inflammatory disorder that often presents endoscopically with mucosal denudation and friability. Stricturing predominantly in the proximal and mid-esophagus defines this clinical subset and shapes the management approach.
Approach
Management combines serial esophageal dilations with medical therapy — the full protocol specifies the preferred dilation technique, the choice among available medical agents, and the sequencing of interventions.
Treatment Goals
Reduction in dysphagia symptoms and endoscopic improvement of the esophageal mucosa.
References
- Esophageal lichen planus (ELP) is a mucocutaneous chronic inflammatory disorder that often presents endoscopically with mucosal denudation and friability.
- A combination of serial esophageal dilations and medical therapy is the typical approach to treat patients with ELP.
- Bougie dilation is often preferred, given that the strictures are most commonly proximal.
DOI: 10.1016/j.giec.2025.02.002
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