Outcomes of Esophageal Self Dilation for Benign Refractory Esophageal Stricture Management

Inclusion Criteria: * Refractory benign esophageal stricture defined as an esophageal stricture with persistent dysphagia despite undergoing 5 endoscopic dilations within a 1 year period. Persistent dysphagia will be considered if patients has solid food dysphagia at least once a week Exclusion Criteria: * Patient with malignant esophageal stricture * Angulated stricture which prevents safe passage of Maloney dilator in office setting * In ability to achieve an esophageal diameter of 10 mm with endoscopic dilation * Known significant esophageal motor disorder (i.e. achalasia, aperistalsis, functional obstruction, jackhammer, distal esophageal spasm)\* * The presence of esophageal stent * Inability to learn self-dilation secondary to blindness or cognitive dysfunction * Use of chronic anticoagulants