Dr. Dua Publishes Definitive Review on Refractory Esophageal Strictures in AJG
WIRE Faculty Member Offers Expert Framework for Managing Complex Cases
WIREDr. Kulwinder Dua, Faculty Investigator at WIRE, has published a comprehensive review article in the American Journal of Gastroenterology on managing refractory benign esophageal strictures. If there is anyone qualified to write the definitive word on this challenging topic, it is Dr. Dua—whose decades of experience treating complex esophageal disorders have established him as one of the world's foremost authorities in the field.
The review challenges the conventional approach to strictures that have "failed" standard therapy. Dr. Dua demonstrates that switching from bi-weekly to weekly dilations leads 60% of previously failed patients to respond, with success rates exceeding 80% when applied upfront. A key innovation highlighted in the article is patient self-dilation—a safe, effective technique that Dr. Dua has championed for years. His structured training program using fluoroscopic biofeedback has achieved 94% success rates with no perforations across 4,600 home dilations, offering patients control over their care and avoiding the need for repeated sedation or surgery. The article provides a complete clinical algorithm applicable in any practice setting, not just tertiary centers.
Link to article: https://doi.org/10.14309/ajg.0000000000003057