Strictures Dilations

Stricture Dilation

Stricture dilation is a medical procedure used to widen narrowed areas (strictures) in the digestive or bile ducts. Strictures can develop due to inflammation, scarring, tumors, or previous surgeries, leading to difficulty in swallowing, digestion, or bile flow. Dilation helps restore normal function and relieve symptoms.

Why is Stricture Dilation Performed?

Strictures can occur in different parts of the body, including:

Esophageal Strictures (Narrowing of the Esophagus)

• Gastroesophageal reflux disease (GERD) – Chronic acid reflux causing scarring.

• Esophageal cancer – Tumors blocking the esophagus.

• Radiation therapy effects – Scarring from cancer treatments.

• Post-surgical strictures – Narrowing after esophageal surgery.

• Eosinophilic esophagitis – An allergic inflammatory condition.

Biliary and Intestinal Strictures

• Bile duct strictures – Due to gallstones, infections, or tumors.

• Intestinal strictures – Common in Crohn’s disease or after abdominal surgery.

Procedure of Stricture Dilation

1. Preparation – Patients may need to fast before the procedure.

2. Endoscopic Guidance – A flexible tube (endoscope) with a camera is inserted into the affected area.

3. Dilation Techniques:

   • Balloon Dilation – A small balloon is inserted and inflated to stretch the stricture.

   • Bougie Dilation – A tapered, flexible tube (bougie) is passed to widen the narrowed area.

4. Post-Procedure Recovery – Most patients can go home the same day after a short observation period.

Benefits of Stricture Dilation

• Relieves symptoms like difficulty swallowing or bile duct obstruction.

• Minimally invasive with quick recovery.

• Prevents complications like malnutrition and infections.

• Can be repeated if needed for chronic strictures.

Possible Risks and Side Effects

• Mild throat discomfort or abdominal pain.

• Temporary bleeding.

• Risk of perforation (rare but serious).

Post-Treatment Care

• Eat soft foods initially and avoid irritants like spicy or acidic foods.

• Stay hydrated and monitor for symptoms like pain or difficulty swallowing.

• Follow up with a doctor for additional treatment if strictures recur.

Stricture dilation is a safe and effective procedure that helps restore normal digestive and bile flow, improving overall health and quality of life.