Esophageal Dilatation. El Salvador Atlas of Gastrointestinal VideoEndoscopy. A Large Database of Images and Video Clips with Cases Reported.
El Salvador Atlas of Gastrointestinal VideoEndoscopy
Peptic Stenosis due to a Reflux Esophagitis. This 57 year-old man with longstanding reflux disease. Peptic strictures are sequelae of gastroesophageal reflux?induced esophagitis, and they usually originate from the squamocolumnar junction and average 1-4 cm in length.

Video Endoscopic Sequence 1 of 23.

Peptic Stenosis due to a Reflux Esophagitis.

This 57 year-old man with long-standing reflux disease.

 Peptic strictures are sequelae of gastroesophageal
 reflux–induced esophagitis, and they usually originate from
 the squamocolumnar junction and average 1-4 cm in length.

 For further endoscopic information, download the video clip
 by clicking on the endoscopic image. Wait to be downloaded
 complete then Press Alt and Enter for full screen
 ( Windows Media), Real Player: Ctrl and 3.
 All endoscopic images shown in this Atlas contain
 video clips. We recommend seeing the video clips in full
 screen mode.
 

The image and the video clip displayed a reduction of the diameter of the gastroesophageal junction. Gastroesophageal reflux disease accounts for approximately 70-80% of all cases of esophageal stricture. Postoperative strictures account for about 10%, and corrosive strictures account for less than 5%.

Video Endoscopic Sequence 2 of 23.

 The image and the video clip displayed a reduction of the
 diameter of the gastroesophageal junction.

 Gastroesophageal reflux disease accounts for
 approximately 70 -80% of all cases of esophageal stricture.
 Postoperative strictures account for about 10%, and
 corrosive strictures account for less than 5%.

 
TThe patient was managed with PPI during three months. Patient did not get improving of his symptoms needing to perform a esophageal dilation. Treatment usually involves dilation combined with acid -suppressive therapy.

Video Endoscopic Sequence 3 of 23.

 The patient was managed with PPI during three months.
 Patient did not get improving of his symptoms needing to
 perform a esophageal dilation.
 Treatment usually involves dilation combined with
 acid -suppressive therapy.

 
Balloon Dilators--Flexible endoscopy allows the physician to directly view the stricture. Deflated balloons are placed through the scope and across the stricture. When inflated they become sausage shaped, stretch and break the stricture. BALLOON DILATORS .

Video Endoscopic Sequence 4 of 23.

Esophageal Dilation.

 Balloon Dilators, Flexible endoscopy allows the physician
 to directly view the stricture. Deflated balloons are placed
 through the scope and across the stricture. When inflated
 they become sausage shaped, stretch and break the
 stricture.
 BALLOON DILATORS
 Deflated balloons are placed through the endoscope and
 across the stricture. When inflated, they become
 sausage-shaped, stretch, and break the stricture.
 Under direct endoscopic observation, the balloon is then
 inflated Once the stricture is dilated, with either single or
 multiple balloons, the balloon is withdrawn through the
 endoscope, after emptying the water.
The image and video clip display maneuver of dilation. The goals of therapy for benign esophageal strictures are the relief of dysphagia and the prevention of stricture recurrence. The majority of benign strictures that are found in the esophagus result from long standing gastroesophageal reflux

Video Endoscopic Sequence 5 of 23.

The image and video clip display maneuver of dilation.

 The goals of therapy for benign esophageal strictures are
 the relief of dysphagia and the prevention of stricture
 recurrence. The majority of benign strictures that are found
 in the esophagus result from long standing
 gastroesophageal reflux.

 
The caliber of the balloon catheter was increased gradually over subsequent dilations, up to a diameter that allowed patients to swallow solid foods

Video Endoscopic Sequence 6 of 23.

 The caliber of the balloon catheter was increased gradually
 over subsequent dilations, up to a diameter that allowed
 patients to swallow solid foods.

 Once the balloon has been inflated to the desired diameter,
 it is kept in place for a short time before deflating.
 actually use three minutes at a time and then deflate it.
In this image and the video clip display the overcome of the stenosis with the balloon. esophageal dilation is often considered as the primary treatment option. Balloon dilation is done directly through an endoscope

Video Endoscopic Sequence 7 of 23.

 In this image and the video clip display the overcome the
 stenosis with the balloon.

 Esophageal dilation is often considered as the primary
 treatment option. Balloon dilation is done directly through
 an endoscope.

 
A hiatal hernia is displayed in retroflexed maneuver. Esophageal dilatation is the technique used to stretch or open the blocked portion of the esophagus. Usually hydrostatic dilating balloon is straddled across the stricture but there are a number of dilating techniques available.

Video Endoscopic Sequence 8 of 23.

 A hiatal hernia is displayed in retroflexed maneuver.
 Esophageal dilatation is the technique used to stretch or
 open the blocked portion of the esophagus. Usually
 hydrostatic dilating balloon is straddled across the stricture
 but there are a number of dilating techniques available.
A close-up.

Video Endoscopic Sequence 9 of 23.

A close-up
This image and the video clip display clearly the diameter of the peptic stricture above of the hiatal hernia.

Video Endoscopic Sequence 10 of 23.

 This image and the video clip display clearly the diameter
 of the peptic stricture above of the hiatal hernia.
Again, repeated dilation are performed. Pass the balloon through the endoscope channel while it's still deflated.

Video Endoscopic Sequence 11 of 23.

Again, repeated dilation are performed.

 Pass the balloon through the endoscope channel while it’s
 still deflated.

 
A balloon dilator passed through the endoscope is often inflated within the confines of the stricture, thus opening the area and relieving the patient's symptoms.

Video Endoscopic Sequence 12 of 23.

 A balloon dilator passed through the endoscope is often
 inflated within the confines of the stricture, thus opening the
 area and relieving the patient's symptoms.

 
Dilation of more than 17 mm in diameter was performed

Video Endoscopic Sequence 13 of 23.

Dilation of more than 17 mm in diameter was performed.

 
Keeping the stricture in the middle of the balloon and then we inflate it to a given diameter.

Video Endoscopic Sequence 14 of 23.

 Keeping the stricture in the middle of the balloon and then we inflate it to a given diameter.

 
The ability to control and monitor the balloon makes it reliable procedure. ?That is the most common type of dilation and it has a very low complication rate with a good success rate

Video Endoscopic Sequence 15 of 23.

 The ability to control and monitor the balloon makes it
 reliable procedure. That is the most common type of
 dilation and it has a very low complication rate with a good
 success rate.

 
Flexible endoscopy allows the physician to directly view the stricture. Deflated balloons are placed through the endoscope and across the stricture. When inflated, they become sausage shaped, stretch, and break the stricture.

Video Endoscopic Sequence 16 of 23.

 Flexible endoscopy allows the physician to directly view the
 stricture. Deflated balloons are placed through the
 endoscope and across the stricture. When inflated, they
 become sausage shaped, stretch, and break the stricture.
 

 
Technique of balloon dilation of esophageal stricture under direct endoscopic visualization

Video Endoscopic Sequence 17 of 23.

Technique of balloon dilation of esophageal stricture under direct endoscopic visualization.

 
Balloon Dilation of Esophageal Stricture.

Video Endoscopic Sequence 18 of 23.

Balloon Dilation of Esophageal Stricture.
Balloon dilation is an acceptable modality for the dilation of stenoses at various sites in the gastrointestinal tract

Video Endoscopic Sequence 19 of 23.

 Balloon dilation is an acceptable modality for the dilation
 of stenosis at various sites in the gastrointestinal tract.

 
In this image as well as the video clip shows the Hiatal Hernia, above of the hernia is display the stricture. The physician can almost always uncover the specific cause of the stricture. And there are a variety of treatment options available for the physician. Complications are rare and, in most instances, a satisfactory outcome occurs with complete clearing of or improvement in the swallowing problem.

Video Endoscopic Sequence 20 of 23.

 In this image as well as the video clip shows the Hiatal
 Hernia, above of the hernia is display the stricture.

 The physician can almost always uncover the specific cause
 of the stricture. And there are a variety of treatment
 options available for the physician. Complications are rare
 and, in most instances, a satisfactory outcome occurs with
 complete clearing of or improvement in the swallowing
 problem.
Status post dilation , Balloon esophageal dilatation is an effective and safe first-line therapy. Complications are quite rare and manageable

Video Endoscopic Sequence 21 of 23.

Status Post Dilation.

 Balloon esophageal dilatation is an effective and safe
 first-line therapy. Complications are quite rare and
 manageable.

 
Chromatoscopy with lugolīs stain. Fundicalīs cell are observed.

Video Endoscopic Sequence 22 of 23.

Chromatoscopy with lugolīs stain.

Fundicalīs cell are observed.
The biopsies did not reveal Barrett s esophagus.

Video Endoscopic Sequence 23 of 23.

The biopsies did not reveal Barrettīs esophagus.
A 56 year-old female who presented severe dysphagia, nauseas, vomiting and weight loss of more than 20 pounds. An upper endoscopy was performed, reflux esophagitis grade IV was found with severe peptic stenosis.

Video Endoscopic Sequence 1 of 7.

 Esophageal Dilation.

 A 56 year-old female who presented severe dysphagia,
 nauseas, vomiting and weight loss of more than 20 pounds.
 An upper endoscopy was performed, reflux esophagitis
 grade IV was found with severe peptic stenosis.
 
 
To rule out malignancy some biopsies were taken.

Video Endoscopic Sequence 2 of 7.

 To rule out malignancy some biopsies were taken..
       
Starting the esophageal dilation. A hydrostatic dilating balloon straddled across the stricture. Under direct observation, the stricture will be dilated. A hydrostatic dilating balloon straddled across the stricture. Under direct observation, the stricture will be dilated.

Video Endoscopic Sequence 3 of 7.

 Starting the esophageal dilation.
 A hydrostatic dilating balloon straddled across the
 stricture. Under direct observation, the stricture will be
 dilated.    
 
The goals of therapy for benign esophageal strictures are the relief of dysphagia and the prevention of stricture recurrence. The majority of benign strictures that are found in the esophagus result from long-standing gastroesophageal reflux.

Video Endoscopic Sequence 4 of 7.

 To observe the procedure download the video clip.

 The goals of therapy for benign esophageal strictures are
 the relief of dysphagia and the prevention of stricture
 recurrence. The majority of benign strictures that are found
 in the esophagus result from long-standing
 gastroesophageal reflux. 

The stenosis was overcome, a hiatal hernia is seen below.

Video Endoscopic Sequence 5 of 7.

 The stenosis was overcome, a hiatal hernia is seen
 below.
A hiatus hernia is observed.

              Video Endoscopic Sequence 6 of 7.

 A hiatus hernia is observed.

 
The fundus in retroflexion the hiatus hernia is appreciated.

Video Endoscopic Sequence 7 of 7.

 The fundus in retroflexion the hiatus hernia is appreciated.
Esophageal Dilatation. A 72 year-old male with esophageal stricture due to a corrosive substance containing acetone. Patient refers to have accidentally ingested acetone thinking it was an alcoholic drink.

Esophageal Dilatation.

Caustic Ingestion.

 A 72 year-old male with esophageal stricture due to a
 corrosive substance containing acetone. Patient refers to
 have accidentally ingested acetone thinking it was an
 alcoholic drink.