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Arrange for a ride to and from the hospital. Also, ask someone to help you at home.
If instructed by your doctor, avoid eating or drinking for six hours before the procedure.
Talk to your doctor about:
Whether you need antibiotics before the procedure
Any medicines, herbs, and dietary supplements that you take—You may be asked to stop taking some medicines up to one week before the procedure.
In some cases,
will be used. This will block any pain and keep you asleep during the procedure. A local anesthetic may also be used to numb the esophagus, and a sedative will be given to relax you.
An esophageal dilation will usually be done along with an
endoscopy. During an endoscopy, the doctor will place a slim, flexible tube into the mouth and then into the esophagus. The tube has a tiny light and a camera attached. This will allow the doctor to view your esophagus on a monitor.
An imaging technique called fluoroscopy may also be used, especially when the dilator is being placed. With fluoroscopy, x-rays images of your esophagus will be sent to a monitor for viewing.
After observing the stricture, the doctor will decide which type of dilator to use to stretch the stricture. These tube-shaped devices are available in different sizes and styles. Depending on how severe your stricture is, the doctor may choose a
For the plastic type, the doctor will use a scope to place a guide wire into the esophagus. This will allow the doctor to place the dilator in the correct spot. The scope will be taken out, and a tapered dilator will be placed through your mouth and throat to the site of the stricture. Depending on your condition, the doctor may need to do this process several times using wider dilators.
If a balloon device is used, it will also be inserted using a scope. Once the dilator is in the correct position, the doctor will inflate the balloon to a certain size to widen the stricture.
You will be monitored in the recovery room. The hospital staff will check to make sure your gag reflex is working normally. The gag reflex is your body’s natural reaction when something too large enters the back of the throat. It is your body’s way to protect you from choking.
Do the following to help ensure a smooth recovery:
Take special precautions during the first 24 hours:
Rest when you get home.
Slowly return to your normal diet. Begin with clear fluids and then eat soft foods that are not too hot.
Do not drink alcohol.
Do not drive or operate any machinery. You will be able to return to your normal activities the next day.
If you have been diagnosed with GERD, take acid-suppressing medicines as prescribed.
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