QUAD #13 Esophageal Strictures & Endoscopic Interventions with Dr. Phil Putnam

Topic overview

In this video, we explore the diagnosis and management of esophageal strictures, focusing on the importance of a patient-centered approach and the various techniques available for dilation.

• Symptom Assessment: Esophageal stricture symptoms vary by age, oral intake, and stenosis severity. Accurate diagnosis involves evaluating nutritional status and secretion management.

• Diagnostic Tools: Endoscopy and esophagram are essential for assessing stricture location, diameter, and extent.

• Dilation Techniques: Learn about different tools like controlled radial expansion balloons, hurricane balloons, and bougienage. Understand when and how to use each method safely.

• Fluoroscopy Guidance: The advantages of using fluoroscopy for pre- and post-dilation esophagrams, ensuring accurate dilation and detecting complications like perforation.

• Incremental Dilation: The importance of cautious, gradual dilation to minimize risks and improve outcomes.

• Choosing the Right Method: Tailor the dilation technique to each patient’s anatomy, with a focus on careful scar remnant removal.

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