Table of Contents
What is a Savary dilation?
Dilation Procedure Savary-Gilliard hollow-centered dilators were used to dilate esophageal narrowing over an endoscopically placed spring-tipped guide wire under fluoroscopy. The size of first dilator used was chosen based on the initial endoscopic assessment of luminal caliber.
Is a Savary dilator a Bougie?
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.
Is esophageal dilation considered surgery?
Esophageal dilation is a medical procedure utilizing a scope to stretch (or dilate) sections of the esophagus that have narrowed—a condition known as a stricture. Typically, a gastrointestinal (GI) doctor will recommend it if a stricture in the esophagus is contributing to problems swallowing.
What is a bougie dilation?
Bougie dilation is an approach to widening esophageal strictures. During this procedure, your doctor uses a thin plastic tube (bougie) along with an endoscope to widen your esophagus. Your doctor will first guide an endoscope down your esophagus.
How many times can esophagus be stretched?
Overall, one to three dilations are sufficient to relieve dysphagia in simple strictures. Only 25–35 % of patients require additional sessions, with a maximum of five dilations in more than 95 % of patients [4].
How long does pain last after 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.
What is a Maloney dilator used for?
Traditionally, mercury-weighted rub- ber bougies (Maloney dilators) are used for simple or mild-to-moderate esophageal strictures, whereas balloon dilators (hydrostatic and pneumatic) and wire-guided polyvinyl bougies have become stan- dard for more complex strictures.
How long does esophageal dilation last?
Most of the effects of the sedation persist for 15-60 minutes, and you may not be able to recall the procedure afterwards. Your throat is usually anesthetized with a spray or liquid to minimize the gag reflex. The endoscope is then gently inserted into the upper esophagus and advanced through the upper digestive tract.
What are the symptoms of needing your esophagus stretched?
Typical symptoms include:
- difficult or painful swallowing.
- unintended weight loss.
- regurgitation of food or liquids.
- sensation of something stuck in the chest after you eat.
- frequent burping or hiccups.
- heartburn.
How long does esophagus dilation last?
What is a bougie dilator used for?
Bougie dilation is typically performed by a colorectal surgeon in the office or operating room. A lubricated bougie dilator has been used for anastomotic strictures in IPAA [37]. Some surgeons have advocated self-dilation by the patient.
How do you know if your esophagus needs to be stretched?
It’s easy to get the care you need.
- difficult or painful swallowing.
- unintended weight loss.
- regurgitation of food or liquids.
- sensation of something stuck in the chest after you eat.
- frequent burping or hiccups.
- heartburn.