What are the three rules of endoscopy?

The “rule of three” in dilation of esophageal strictures suggests that in a single session, no more than three bougie dilators of sequentially larger size should be passed once moderate or greater resistance is evident . (Dilators passed with no or mild resistance do not count toward this total

What is a Maloney dilator?

The Maloney (Medovations, USA) is the most commonly used bougie dilator . Made of rubber and filled with mercury or tungsten, it has a tapered tip and is freely passed without a guidewire. The Savary-Gilliard (Wilson-Cook, USA) is a tapered thermoplastic dilator and is passed over a guidewire.

What is endoscopic dilatation?

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.

How can I naturally widen my esophagus?

You can strengthen your esophagus by making certain changes to your lifestyle, such as eating small meals and giving up smoking . These changes help lower your risk of having a narrowed esophagus. Other changes include avoiding foods that trigger acid reflux, such as spicy foods and citrus product

How do they stretch the esophagus?

During the procedure, the doctor guides a balloon or plastic dilator down your throat and into your esophagus. Then the device expands, like a balloon filling with air . It widens any narrow parts of your esophagus. To guide the balloon or plastic dilator, the doctor may use a thin, lighted tube that bends.

Why would you need esophageal dilation?

When you have difficulty swallowing food due to a narrowed esophagus , your doctor might recommend undergoing esophageal dilation. This procedure involves stretching your esophagus in order to open it up more.

Are you awake during esophageal dilation?

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.

How long does it take to recover from esophageal dilation?

Your throat may feel sore for a day after dilation but usually improves within 24 hours . Localized irritation of the vein where the medication was injected may cause a tender lump lasting for several weeks, but this will go away eventually. Applying heat packs or hot moist towels may help relieve discomfort.

How do you make your esophagus wider?

Esophageal dilation is the most common treatment for strictures. Your provider uses a balloon or dilator (a long plastic or rubber cylinder) to widen the narrow area of the esophagu

Can a narrowed esophagus heal itself?

Esophagitis can usually heal without intervention , but to aid in the recovery, eaters can adopt what's known as an esophageal, or soft food, diet. The goal of this kind of diet is to make eating less painful and to keep food from lingering in the esophagus and causing irritatio

How do you fix a narrowing esophagus?

Esophageal dilation is the most recommended esophageal stricture treatment . The doctor uses a balloon or dilator — a long cylinder made of rubber or plastic — to widen the esophagus. The doctor gives you sedatives before the procedure to relax you and may numb parts of your throat, so you don't feel pai

What causes esophagus to narrow?

The most common cause of an esophageal stricture is long-standing gastroesophageal reflux disease (GERD) , where stomach acid backs up from the stomach into the esophagus and causes esophageal inflammation, which can lead to scarring and narrowing over time.

Does stretching your esophagus hurt?

Is Esophageal Dilation Painful? While minimally invasive, esophageal dilation can cause bruising and soreness. Some patients may experience discomfort during the procedure, and pain when swallowing in the days afterward .

What is the procedure to stretch the esophagus?

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.

Do they put you to sleep to stretch your esophagus?

Esophageal stretching widens a narrowed area of your esophagus. It's typically performed under sedation along with an upper endoscopy, an incision-free, image-guided procedure that takes about 15 minutes.

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