Gastroenterology:Conservative Treatment of Stenosis of the Esophagus with the Endoscopic Implantation of Stents
Esophageal stenosis can be caused by the tumor development or injury of its mucosa. Installation of a flexible tube, i.e. a stent, allows restoring the normal lumen and alleviating the patients’ condition. The surgery is performed using a bloodless method under the endoscopic control.
The treatment is carried out after consultation with the gastroenterologist. During the visit, the physician examines the patient, collects his/her case history and prescribes a set of required tests:
- complete blood count,
- biochemical blood test,
- abdominal ultrasound,
Based on the diagnostics findings, a decision on the need for stenting is made.
How Is the Stent Installed?
Before the procedure, the patient is sedated intravenously. An endoscope, i.e. a flexible tube with a tiny camcorder at the end, is pushed into the esophagus. The image from the camcorder is fed displayed on the monitor. Tracking its actions on it, the surgeon brings a conductor with a compressed stent to the contracted site. After installation, the support structure is inflated, and the esophagus lumen is restored. All manipulations take no more than 20 minutes.
After the Procedure
The patient is transferred to a ward where s/he is monitored by the clinic staff. In order to improve the overall condition, the symptomatic therapy is administered. At the same time, the recommendations for dietary alterations are provided.
The treatment results are evaluated on day 2 or 3 by endoscopy. When the patient feels good, s/he us discharged on day 6 after examination and receipt of gastroenterologist’s prescriptions.Hide