Localized luminal narrowing of the lower esophagus is mainly caused by congenital anomalies, chronic esophagitis, esophageal cancer and other factors, and should be treated according to the causes.
1. Congenital anomalies: localized luminal narrowing caused by congenital thickening of esophageal wall, if there is no obvious symptom, there is no need for special treatment, but if it affects feeding, surgery can be considered.
2. Chronic esophagitis: it can be caused by gastroesophageal reflux disease (GERD), and the wall of the lower esophagus is thickened due to inflammation and edema, which can be clearly diagnosed through gastroscopy. Patients can be treated by improving lifestyle and taking some gastrointestinal stimulants, acid suppressants, mucosal protectants and other drugs, such as domperidone, omeprazole, magnesium aluminum carbonate. Reduce the irritation to the esophagus to reduce the inflammatory response.
3. Mycosis fungoides esophageal cancer: obvious wall thickening can be seen when the tumor involves the wall of esophagus, which can be diagnosed by ultrasound, gastroscope, CT and other imaging examinations, and then the treatment plan can be determined according to the comprehensive analysis of the tumor site, staging, and the patient’s own condition.
In conclusion, it is recommended to consult the doctor in time for further examination to clarify the cause of the tumor, and then carry out treatment under the doctor’s guidance.