The diagnosis and management of esophageal obstructions, namely strictures and stenoses, can be quite intimidating and challenging for the surgeon. We discuss in this chapter the many different types of esophageal obstructions and outline the major principles involved in their management. A careful understanding and thoughtful approach to the their treatment remains paramount to achieve optimal outcomes. Depending on the nature and etiology of the narrowing, the therapeutic options can range from pharmacotherapy alone to complex surgery, including esophagectomy with conduit reconstruction. More recently, endoscopic interventions have made a dramatic impact in many children previously thought to have a problem amenable only to major reconstructive esophageal surgery.
ASJC Scopus subject areas