Once a stricturing process has been detected in the esophagus, periodic observation and treatment must be planned for the rest of the patient's life. In some cases, perhaps, a few dilatations every decade or so will prove sufficient, while in others it may be found that dilatations are required every week or more often for life, without fail, if esophageal patency is to be maintained. The basic principle governing management is to prevent, at all costs, closure of the esophagus.
Thus it is that elderly patients sometimes present themselves for treatment of strictures which were initiated many years previously. Somewhat less frequently benign esophageal stricture does not develop until advanced age has been reached. In this group some unique management problems are encountered. This report deals with personal experiences with these problems.
Patients and Etiology
Sixteen patients more than 60 years old with nonmalignant esophageal stricture were managed (Table). It
PALMER CED. Management of Esophageal Stricture in the Elderly Patient. Arch Otolaryngol. 1961;74(6):703–706. doi:10.1001/archotol.1961.00740030716017