Usually when strictures are found, we dilate the esophagus at the time of your upper endoscopy. At the same time, we either start or increase your drugs that reduce the amount of acid that the stomach makes. Usually the acid reduction will keep the stricture from occurring again, but not always.
If your reflux is so bad that even double doses of acid-suppressing medicine doesn’t eliminate your chest burning, or your swallowing difficulty comes back, we consider antireflux surgery. The surgery, called a Nissan Fundiplication, actually does involve “wrapping the stomach around the esophagus.”