The first method of treatment is dilation of the stricture to expand or open the narrowed part of the esophagus. Dilation is usually successful, but repeat and serial dilation may be necessary for severely stricture area. Once the stricture is dilated, your doctor will prescribe a proton pump inhibitor (PPI) to keep strictures from returning. The use of PPIs offers significant benefits, but they do not ensure that the stricture will not return. If repeated dilation and the use of PPIs are not successful, surgical treatment may be necessary.