Complications of Esophageal Dilatation

Disruption of the esophageal wall and subsequent bac-teremia or hemorrhage is an important complication of esophageal dilatation. Esophageal hemorrhage after dilation is consistently < 2% according to a recent AGA review. On the other hand, the rate of esophageal damage during esophageal dilatation differs depending on the method of evaluation. Esophagrams following balloon dilatation have shown extravasations of contrast into the intramural wall in 9% of patients with contrast penetrating through the transmural thickness of the esophagus in an additional 12% (Kang et al, 1998). On the other hand, the rate of clinically relevant perforations requiring aggressive medical or surgical care is lower ranging from < 0.1 to 2% (Kang et al, 1998). The rate of perforation is also dependent on a variety of factors. Bougie dilatation may lead to a higher rate of esophageal disruption than balloon dilators because of the shearing forces it produces. Strictures treated with frequent intervals between dilatation sessions have also been associated with an increased frequency of perforations (Tulman and Boyce, 1981). Corrosive-induced strictures have perforation rates as high as 33%, exceeding the perforation rate for strictures of other benign etiologies (McLean and LeVeen, 1989).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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