Narrowing of oesaphagus and pylori. How to avoid surgery and treat this
At first exclude malignant stricture…
Usual causes of benign strictures in pylorus is peptic ulcer disease…and in esophagus is reflux oesophagitis (GORD)
endoscopic dilatation with pneumatic balloon dilators (through the scope) or Savary-Guillard bougie dilators.
Stenting is another option.
dilatation is done but it break the pylori wall and do a emergency surgery.
injury or perforation of viscus wall is a common problem of endoscopic dilatation
tell me the age of the patient,cause of narrowing according to your endoscopist, duration of “feeding operation” patient underwent??
30 years old female. Coresive injetion through oesaphagus and pylori are narrow. After dilatation wall of the pylori break and surgery done.
I think…better option maybe gastrojejunostomy ( bypassing the pylorus by making connection between stomach& upper gut) for pyloric narrowing rather then a feeding procedure as the patient is young.