Dilatation of Gastrointestinal Strictures
A stricture is a narrowing of the gastrointestinal tract that can interfere with the normal passage of food or intestinal contents. Strictures can occur in the oesophagus, small bowel, or colon and may result from scarring, inflammation, previous surgery, or motility disorders.
What conditions may require dilatation?
Oesophageal dilatation may be used to treat narrowing caused by conditions such as fibrotic oesophageal strictures, Schatzki rings, or achalasia. Dilatation may also be used for selected small bowel or colonic strictures, including those related to inflammatory conditions such as Crohn’s disease.
What symptoms can strictures cause?
Symptoms depend on the location of the narrowing and may include difficulty swallowing, food becoming stuck, chest discomfort, abdominal pain, bloating, nausea, vomiting, or symptoms of bowel obstruction.
How are strictures treated?
Endoscopic dilatation is a minimally invasive procedure performed using an endoscope. A specialised balloon or dilating device is passed through the narrowed area and gently expanded to widen the opening, improving the passage of food or intestinal contents.
Is dilatation safe?
Endoscopic dilatation is generally a safe and effective treatment. As with any procedure, there is a small risk of complications, including bleeding or perforation. Some strictures may require repeat dilatation depending on their underlying cause and tendency to recur.
Do I need a consultation first?
Yes. Assessment is important to determine the cause, location, and severity of the narrowing and whether dilatation is the most appropriate treatment option. Your gastroenterologist will discuss the procedure, potential benefits, risks, and follow-up requirements.