The procedure should be undertaken with caution in those who have suffered a recent perforation or undergone recent upper gastrointestinal surgery. Dilation can be done using endoscopic balloon dilators or Savary-Gilliard (SG) dilator (Cook Medical, USA). [Article in French] Authors R Grimaud, J Werner, P Labaeye. TABLE 35.2 Most Common Indications for Esophageal Dilation Active esophageal perforation is an absolute contraindication to esophageal dilation. 406683001_001 ID021921 Merit Medical Systems, Inc. 1600 West Merit Parkway Some nonmalignant esophageal strictures are related to other underlying conditions such as radiation therapy, caustic ingestion, surgical anastomosis, or dermatologic disease (eg, epidermolysis bullosa, lichen planus, pemphigus). Esophageal dilation is the first step in the treatment of symptomatic benign esophageal strictures. Staging laparoscopy should be used for patients with esophageal cancer who are potential candidates for curative surgical resection based on a negative preoperative staging for lymph node or distant metastases. Esophageal dilation is a treatment option for patients with achalasia. 1 It is a result of chronic mucosal injury due to gastroesophageal reflux disease (GERD) and is estimated to be present in up to 15% of GERD . A total of 30 patients participated in the study. Contraindications Potential Complications Potential complications associated with upper gastrointestinal endoscopy and esophageal dilation include, but are not limited to: perforation, hemorrhage, aspiration, fever, infection, allergic reaction to medication, hypotension, respiratory depression or arrest, cardiac arrhythmia or arrest. Contraindications (Absolute or Relative) . Inadvertent RFA over visible lesions instead of EMR may miss invasive cancer and cause inadequate eradication. A balloon is expanded inside the esophagus to stretch muscle fibers inside the lower esophageal sphincter (LES). 8 1966 Mar;83(3):211-4. History of previous esophageal perforation is a relative contraindication to future dilations and extreme caution should be used. Your healthcare provider will watch for these complications throughout the procedure. PMID: 5930634 No abstract available . Esophageal dilation is best performed by a gastroenterologist who specializes . You should seek medical attention if you notice any of the following after the esophageal dilation: Difficulty breathing Fever Chest pain Bloody or black bowel movements 2 The most dangerous complication is the risk for perforation, or a hole in the esophagus. Barrett's esophagus (BE) is defined as an extension of metaplastic columnar epithelium of at least 1 cm above the gastroesophageal junction, replacing the stratified squamous epithelial lining of the esophagus, with biopsy-proven intestinal metaplasia. Five had continued improvement at short-term follow-up (1 to 4 weeks). In addition to specific features of esophageal stricture that contraindicate dilation (e.g., extremely long and tortuous strictures), several comorbidities also can increase the patient's risk. Esophageal dilation is routinely per-formed in an outpatient setting. Three patients still had complete resolution of dysphagia at long-term follow-up (range 8 to 27 months). distal phimosis, high degrees of vascular change, fibrosis, ampullary dilation after . 4.0 CONTRAINDICATIONS Active oesophageal perforation is an absolute contraindica-tion to oesophageal dilatation as it may extend the oesophageal defect and promote mediastinal soiling. ESOPHAGEAL STRICTURE SEQUENCE Date of dilation treatment Diameter of dilation treatment Physician Medical center . Of the patients with esophageal dysphagia, 84 (67%) had nonobstructive dysphagia. [Indications and contra-indications of esophageal dilatation] [Indications and contra-indications of esophageal dilatation] Ann Otolaryngol Chir Cervicofac. Esophageal dilation of a CP bar can produce long-term relief of dysphagia. Patients with achalasia are susceptible to esophageal stasis and a prolonged fast or esophageal lavage may be required to empty the esoph-agus. . During esophageal dilation (also called pneumatic dilation), an endoscopic tube is inserted through the mouth and into the esophagus. The procedure allows visualization of the esophageal mucosa from the upper esophageal sphincter all the way to the esophagogastric junction (EGJ). Oesophageal dilatation is indicated in the treatment of symptomatic narrowing of the oesophagus, which may develop from of a wide range of anatomical and functional oesophageal disorders. Dilation should not be attempted in the setting of an acute or incompletely healed esophageal perforation. This means that you will not Esophageal dilation can treat conditions such as Esophageal cancer, Esophageal stricture, Achalasia, and GERD. Esophageal dilation is usually done as an outpatient procedure. (2) RFA in the presence of esophageal varices: may cause unroofing of varices and delayed bleeding after the mucosal necrosis. Patients should fast for 4 to 6 hours before the procedure. Contraindications to ablation techniques (1) Ablation should be performed on flat mucosa only. Before using, refer to Instructions for Use for indications, contraindications, warnings, precautions, and directions for use. Esophageal dilation is a medical procedure that helps to open the esophagus. This procedure is one of several procedures. . 4.0 CONTRAINDICATIONS Active oesophageal perforation is an absolute contraindication to oesophageal dilatation as it may extend the oesophageal defect and promote mediastinal soiling. 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