Radiologically guided balloon dilatation of obstructing gastrointestinal strictures

Abstract

Balloon dilatations is the preferred method of dilatation for most gastrointestinal strictures, because of its efficacy and relative safety. Radiologically guided balloon dilatation was successful in 20 of 24 patients referred for dilatation with a variety of tight gastrointestinal strictures with diameters of 0.5 cm or less. Attempts at endoscopic or bougie dilatation had either failed or were felt unlikely to be successful. A satisfactory result was obtained in all cases in which dilatation was performed. There were no serious complications. Radiologically guided balloon dilatation is both safe and effective for the treatment of very tight or obstructing gastrointestinal strictures.

Percutaneous transhepatic afferent loop balloon dilatation and indwelling catheter placement for benign afferent loop obstruction

“…Radiologcally, gastrointestinal balloon dilatation has been performed for various obstructive strictures of the upper gastrointestinal tract and has the advantage of safely releasing the stricture, leaving no residual material such as a stent, and can be repeated multiple times. 7 Balloon dilatation for benign ALO has not been reported thus far, but our two cases showed its possibility of safe and successful use.…”

Pediatric Gastrointestinal Intervention

“…10A-C). [53][54][55][56][57][58][59][60][61] The tech-nique of balloon dilatation of strictures in the GI tract is the same regardless of where the stricture is. However, compared with the esophagus, dilated and fluid-filled stomach or tortuous bowel may be more difficult to intubate, and the assistance of an endoscopist may be necessary.…”

Endoscopic balloon dilation of postoperative duodenal stricture by using a new type of wire‐guided balloon catheter

“…Gastrointestinal strictures may be managed non‐operatively by various dilation methods using graduated polyvinyl dilators, mercury‐weighed rubber bougies or other endoscopically/radiologically applicable balloon catheters 1–3 . Among these methods, balloon dilation has gained in popularity because it is less traumatic when applying radial forces than others with yielding rather than shearing forces 4 .…”