A 65-year-old male presents with intermittent dysphagia.
There is no loss of weight. He is referred for endoscopy and the
endoscopist reports a tight peptic stricture, which is dilated successfully.
Biopsies from the area do not reveal a malignancy.
In the long term management of this patient the most
important step would be:
Long term acid suppression with a proton pump inhibitor
Regular endoscopic surveillance
Regular dilatation to prevent recurrence
Insertion of an oesophageal stent
Formal surgical correction of the stricture