OBJECTIVE: In the era of liberal proton pump inhibitor (PPI) use, benign esophageal
strictures remain a significant management problem, with 30–40% of patients experiencing
symptomatic recurrence within 1 yr of successful dilation. We therefore sought to examine
predictors of early recurrence of benign esophageal strictures after endoscopic dilation.
METHODS: Predictors for stricture recurrence were examined in 87 consecutive outpatients
undergoing initial dilation over a 1-yr period. Patients with symptomatic recurrence of …

(1). In this report, the authors stated that patients with nonpeptic strictures were more likely
than patients with peptic strictures to require repeat dilatation in a shorter period of time. In
addition, they suggested that at least one quarter of these patients had esophagitis and, of
these, more than 60% had severe esophagitis, grade B or higher. However, there was no
mention in the article whether their group of patients had evidence of a severe, isolated
esophageal eosinophilia unresponsive to PPI therapy. We would like to raise the possibility …