What you need to know about:

Esophageal dilation

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Recovery Period:
No downtime
Permanence:
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Time it takes:
1 hour
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Anesthetize:
General Anesthesia

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Overview of

Esophageal dilation

in Thailand

Esophageal dilation is a procedure that allows a doctor to dilate, or stretch a narrowed area of the esophagus. This procedure may be carried out during a sedated endoscopy or the doctor may apply a local anesthetic spray to the back of your throat and then pass a weighted dilator through your mouth and into your esophagus.

Goals of

Esophageal dilation

Esophageal dilation is used to treat esophageal strictures. The most common cause of stricture, or the narrowing of the esophagus, is scarring of the esophagus from reflux of gastric acid. Patients with esophageal stricture have trouble swallowing food and feel like it is “stuck” in the chest region, causing discomfort and pain. Other less common causes of stricture are scar tissue, cancer of the esophagus, scarring after radiation treatment or caustic injury after chemical ingestion.

Price of

Esophageal dilation

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Pros and cons of

Esophageal dilation

Pros

-The procedure involves little discomfort or pain and is effective at relieving esophageal stricures.

-Patient can easily recover after the procedure and can resume normal activities quickly  

Cons

-Complications are rare but may occur. These include: perforation and side effects from the sedatives

How it works:

Esophageal dilation

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 an 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. Your doctor may also use x-rays during the esophageal dilation procedure..

Preparation before

Esophageal dilation

Pre - treatment

You will be asked to fast 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 such as warfarin or heparin), or clopidogrel. 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.

Recovery after

Esophageal dilation

Post - treatment

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.

Risks & side effects

Esophageal dilation is generally a safe procedure. These are some of the risks that you should be aware of:  1. Bleeding - You should seek attention if you notice any of the following symptoms; difficulty breathing, fever, chest pain, bloody or black bowel movements  2. Perforation - This can occur approximately 1-4 in 1000 cases. If perforation occurs, surgery may be needed to correct the problem

FAQs:

Esophageal dilation

What diseases can esophageal dilation be used to treat?

There are a number of specific conditions that a doctor may recommend esophageal dilation for, including:   -Achalasia -Benign Esophageal Stricture -Eosinophilic Esophagitis -Esophageal Cancer -Gastroesophageal Reflux Disease GERD -Peptic Stricture

Is esophageal dilation big procedure?

Esophageal dilation is minimally invasive, and does not typically require incisions or stitches. Patients remain awake during the procedure, which takes around 15 minutes, and are able to go home the same day.

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