Esophageal Dilation due to a narrowing of the esophagus


What is Esophageal Dilation?Esophageal dilation is a procedure that allows your doctor to dilate, or stretch, a narrowed area of your esophagus [swallowing tube]. Doctors can use various techniques for this procedure. Your doctor might perform the procedure as part of a sedated endoscopy. Alternatively, your doctor might apply a local anesthetic spray to the back of your throat and then pass a weighted dilator through your mouth and into your esophagus.Why is it Done?The most common cause of narrowing of the esophagus, or stricture, is scarring of the esophagus from reflux of acid occurring in patients with heartburn. Patients with a narrowed portion of the esophagus often have trouble swallowing; food feels like it is "stuck" in the chest region, causing discomfort or pain. Less common causes of esophageal narrowing are webs or rings (which are thin layers of excess tissue), cancer of the esophagus, scarring after radiation treatment or a disorder of the way the esophagus moves [motility disorder].How Should I Prepare for the Procedure?An empty stomach allows for the best and safest examination, so you should have nothing to drink, including water, for at least six hours before the examination. Your doctor will tell you when to start fasting.Tell your doctor in advance about any medications you take, particularly aspirin products or anticoagulants (blood thinners). Most medications can be continued as usual, but you might need to adjust your usual dose before the examination. Your doctor will give you specific guidance. Tell your doctor if you have any allergies to medications as well as medical conditions such as heart or lung disease. Also, tell your doctor if you require antibiotics prior to dental procedures, because you might need antibiotics prior to esophageal dilation as well.What Can I Expect during Esophageal Dilation?Your doctor might perform esophageal dilation with sedation along with an upper endoscopy. Your doctor may spray your throat with a local anesthetic spray, and then give you sedatives to help you relax. Your doctor then will pass the endoscope through your mouth and into the esophagus, stomach and duodenum. The endoscope does not interfere with your breathing. At this point your doctor will determine whether to use a dilating balloon or plastic dilators over a guiding wire to stretch your esophagus. You might experience mild pressure in the back of your throat or in your chest during the procedure. Alternatively, your doctor might start by spraying your throat with a local anesthetic. Your doctor will then pass a tapered dilating instrument through your mouth and guide it into the esophagus.What Can I Expect after Esophageal Dilation?After the dilation is done, you will probably be observed for a short period of time and then allowed to return to your normal activities. You may resume drinking when the anesthetic no longer causes numbness to your throat, unless your doctor instructs you otherwise. Most patients experience no symptoms after this procedure and can resume eating the next day, but you might experience a mild sore throat for the remainder of the day.If you received sedatives, you probably will be monitored in a recovery area until you are ready to leave. You will not be allowed to drive after the procedure even though you might not feel tired. You should arrange for someone to accompany you home, because the sedatives might affect your judgment and reflexes for the rest of the day.What are the Potential Complications of Esophageal Dilation?Although complications can occur even when the procedure is performed correctly, they are rare when performed by doctors who are specially trained. A perforation, or hole, of the esophagus lining occurs in a small percentage of cases and may require surgery. A tear of the esophagus lining may occur and bleeding may result. Complications from heart or lung diseases are potential risks if sedatives were used. Symptoms of thisdisorder vary and may include difficulty swallowing (dysphagia), painfulswallowing, regurgitation of food and weight loss. Further complications mayalso arise if the stricture is left untreated. Fortunately, esophageal dilation offers potential relief andhealing for those suffering from esophageal stricture, Dr. Julio Murra Saca perform a dilation with hydrostatic Balloon. www.murrasaca.com







Channel: Howto
Uploaded: April 16, 2007 at 3:21 am
Author: murrasaca

Length: 00:01:38
Rating: 4.00
Views: 27696

Tags: Barrett chest Esophageal Esophagus heartburn dilator Dilation Colonoscopy Endoscopy acid reflux GERD stricture pain

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Video Comments:
caddict69 (September 30, 2008 at 4:08 pm)
think thousand times when you smoke cigar.....death will come....cancer of the esophagus..
societyofcells (September 9, 2008 at 10:09 pm)
My stricture was from an angry stranger throwing lye in my face. I have a stronger stricture than most. Over the years the stricture has gotten smaller. Now I can't pass a 36 Maloney dilator. To keep eating, I blow up the balloon every day myself. It hurts sometimes, but if I do a little Tai Chi before, and think of all I have to be thankful for - I can blow up the balloon without much pain. Luckily 1-3 dilatations treats most people.
az09mcr (August 23, 2008 at 3:25 am)
good luk lol thnk jelly icream 4 a couple of days heeh lol
THfanJassy (August 16, 2008 at 2:59 pm)
yes, me too, don´t know when... for the 5th time.
ur goin 2 be ok.
greatman243735 (August 16, 2008 at 11:32 am)
Hi friends,My Father he is 76 yrs after oesphagus cancer now he is doing Dilation also dona 5 times now he feel heay havy dry caugh he feel very tired after this caugh.What is the remady pl reply
Blmdude2k7 (August 7, 2008 at 10:45 am)
I'm gonna have this done on the 20th. Wish Me Luck Guys!!
LittleMatt925 (June 12, 2008 at 12:00 am)
i hav just got back from having an endoscopy, and the sedation was useless, but i was destracted by how uncomfortable it was that i didnt notice that they also did a dilation. altho i hav a VERY sore throat, i am glad that i had it done.
kellyr1976 (June 1, 2008 at 5:47 pm)
I have had the dilation before did not know I even had it it was performed I was a sleep and durning a reqular endoscope procedure I am having upper endocopy performed thursday morning at 630 am more like 7
MistressDracona (March 23, 2008 at 9:23 pm)
ack I'm going to get this procedure done this saturday!!!! well there goes my calmness about it
kellymann (December 19, 2007 at 7:48 pm)
I hope they forwarn you that your throat or colonscopy will be on youtube- I think I will just keep my hemmoroids on

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