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Esophageal strictures are a common cause of difficulty swallowing and a common complication of reflux, but reflux is not the only cause.  Other causes include chest and neck radiation, cancer, prior esophageal surgery and an allergic condition of the esophagus called eosinophilic esophagitis.  Strictures are generally treated with dilatation, or “stretching.”  It is important to understand why strictures occur in order to help prevent them from recurring.